Aimee Dalton, LMT
Individual provider Active NPI Massage Therapist · Fulton, MO
NPI 1992238562 · NPPES record last updated Apr 10, 2017
Key facts
- NPI
- 1992238562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 2007010384 (MO)
- Practice address
- 710 S Business 54
Fulton, MO 65251-1403 - Phone
- (573) 590-0657
- NPI assigned
- Apr 10, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2007010384 | MO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2007010384 | MO | Yes |
Addresses
Primary practice location
710 S Business 54
Fulton, MO 65251-1403
Mailing address
710 S Business 54
Fulton, MO 65251-1403
Phone (573) 590-0657
Other providers in Fulton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2017. 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.