Healthcare Provider Details

I. General information

NPI: 1154244994
Provider Name (Legal Business Name): BROOKE ANN FLASPOHLER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605A S BROADWAY
OAK GROVE MO
64075-9274
US

IV. Provider business mailing address

1118 NW 700TH RD
HOLDEN MO
64040-9481
US

V. Phone/Fax

Practice location:
  • Phone: 816-625-1598
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number2019026713
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: