Provider Demographics
NPI:1932669751
Name:MEYER, BARBARA JANE (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JANE
Last Name:MEYER
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1774 KIMKIRK CT
Mailing Address - Street 2:
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122-2224
Mailing Address - Country:US
Mailing Address - Phone:314-822-9291
Mailing Address - Fax:
Practice Address - Street 1:1774 KIMKIRK CT
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-2224
Practice Address - Country:US
Practice Address - Phone:314-822-9291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-20
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001012390225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist