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Contact Information

MOONLIGHT VALLEY MEDICAL MASSAGE, LLC
102 MOONLIGHT VALLEY DR
ASH GROVE, MO65604-8160
 Phone: 417-839-9726
 Fax: 417-263-3099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for MOONLIGHT VALLEY MEDICAL MASSAGE, LLC

NPI Number 1013790500
LBN Legal business name MOONLIGHT VALLEY MEDICAL MASSAGE, LLC
Authorized official KATRINA CHAMBERS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2023
Last updated 08/17/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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