IndividualActive
Archie Winnett, LMT
NPI 1609143189 · Massage Therapist · Jefferson City, MO
Provider details
- NPI number
- 1609143189
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2009035745 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3216 Emerald Ln
Suite a
Jefferson City, MO 65109-6947
Phone: (573) 636-6400
Approximate (ZIP-level) locationGet directions
Mailing address
3216 Emerald Ln
Jefferson City, MO 65109-6947
Registry dates
- Enumerated
- 2011-11-28
- Last updated
- 2013-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.