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Mr. Archie R. Winnett, LMT
Massage Therapist in Jefferson City, Missouri
NPI 1609143189

Archie R. Winnett is a Massage Therapist based in Jefferson City, MO. Archie R. Winnett practices in Jefferson City, MO and has the professional credentials of LMT. The NPI Number for Archie R. Winnett is 1609143189 and holds a License No. 2009035745 (Missouri).

The current practice location address for Archie R. Winnett is 3216 Emerald Ln, Jefferson City, MO and can be reached out via phone at 573-636-6400. You can also correspond with Archie R. Winnett through the mailing address at 3216 EMERALD LN, JEFFERSON CITY, MO - 65109-6947 (mailing address contact number: 573-636-6400).

Location: 3216 Emerald Ln, Jefferson City, MO, 65109-6947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609143189
Provider Name
Archie R. Winnett
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
3216 Emerald Ln, Jefferson City, MO, 65109-6947
Phone Number
573-636-6400
Fax Number
Provider Enumeration Date
11/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2009035745 01 MO STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3216 Emerald Ln
City
Jefferson City
State
Missouri
Zip
65109-6947
Phone Number
573-636-6400
Fax Number
person
Provider Business Mailing Address Details
Address
3216 Emerald Ln
City
Jefferson City
State
Missouri
Zip
65109-6947
Phone Number
573-636-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
2009035745 (Missouri)
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.
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