Mary Sturgeon
Individual provider Active NPI Massage Therapist · Peculiar, MO
NPI 1962953067 · NPPES record last updated Oct 24, 2016
Key facts
- NPI
- 1962953067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 2001030308 (MO)
- Practice address
- 226 Shari Dr Apt B
Peculiar, MO 64078-8234 - Phone
- (314) 809-2268
- NPI assigned
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001030308 | MO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2001030308 | MO | Yes |
Addresses
Primary practice location
226 Shari Dr Apt B
Peculiar, MO 64078-8234
Mailing address
226 Shari Dr Apt B
Peculiar, MO 64078-8234
Phone (314) 809-2268
Other providers in Peculiar, MO
- Emma Jane Rewerts
- Rummerfield Chiropractic LLC
- Kenneth W Rummerfield
- Laveeda C Simmons
- Ryan Yan So
- Victoria Elaine Kalehua Talley
- Thera Fit, LLC
- Makayla Thomas
- West Peculiar Fire Protection District
All providers in Peculiar, MO · Massage Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.