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NPI 1780458448 · live from the CMS NPI Registry

Robin Stephanie Gustavus, LMT, BCTMB

Massage Therapist in Mission, KS. National Provider Identifier 1780458448, active.

NPI record

NPI1780458448 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location6556 Johnson Dr, Mission, KS 66202
Practice phone913-432-4780
Mailing address9001 E 89th St, Kansas City, MO 64138
EnumeratedNovember 13, 2023
Last updatedNovember 13, 2023
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X2008018015 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.