MEDICARE: DEBORAH A JONES LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	2001014057	MO

General Provider Information

NPI Number	:	1467524512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH A JONES LMT

Provider Business Mailing Address
First Line	:	4144 LINDELL BLVD
Second Line	:	223
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2927
Country	:	US
Telephone Number	:	314-531-6004
Fax Number	:

Provider Business Practice Location Address
First Line	:	4144 LINDELL BLVD
Second Line	:	223
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-2927
Country	:	US
Telephone Number	:	314-531-6004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	07/08/2007

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