IndividualActive
Amy Lane
NPI 1093525032 · Massage Therapist · De Soto, MO
Provider details
- NPI number
- 1093525032
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2006033841 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1035 Lakeshore Dr
De Soto, MO 63020-4708
Phone: (314) 603-5684
Approximate (ZIP-level) locationGet directions
Mailing address
1035 Lakeshore Dr
De Soto, MO 63020-4708
Registry dates
- Enumerated
- 2025-01-11
- Last updated
- 2025-01-11
- Certified
- 2025-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.