Search › Missouri › 225700000X
Jerrad Benton, LMT, MMP
NPI 1891211017 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2430 Tellicherry Dr
Saint Louis, MO 63125 - Phone
- (314) 600-6293
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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