Healthcare Provider Details

I. General information

NPI: 1558282293
Provider Name (Legal Business Name): ANNA MICHEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 INDEPENDENCE SQ
WEST PLAINS MO
65775-4224
US

IV. Provider business mailing address

507 MYRTLE ST
WEST PLAINS MO
65775-3136
US

V. Phone/Fax

Practice location:
  • Phone: 417-293-4875
  • Fax:
Mailing address:
  • Phone: 417-293-4875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number2026026324
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: