SearchMissouri224Z00000X

Brenda Thebeau

NPI 1225797129 · on the registry since 2021 · sole proprietor

Practice

Address
3761 E Us Highway 54
Linn Creek, MO 65052
Phone
(314) 808-2955

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri