Doctor Name: | LINDA MULLINS |
NPI Number: | 1598934572 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | 2002000577 |
Business Practice Address: | 3 Walnut Grove Rd Eldon, MO - 650265786 |
Business Phone Number: | 5732163371 |
Business Fax Number: | 5733027165 |
Mailing Address: | 3 Walnut Grove Rd, P.o. Box 383 ELDON |
State: | MO |
Postal Code: | 650265786 |
Phone Number: | 5732163371 |
Fax Number: | 5733027165 |
NPI Enumeration Date: | 02/25/2008 |
NPI Last Update Date: | 02/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 2002000577 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |