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Brenton D Ebersole, LMT
Massage Therapist in Belleville, Illinois
NPI 1437699857

Brenton D Ebersole is a Massage Therapist based in Belleville, IL. Brenton D Ebersole practices in Belleville, IL and has the professional credentials of LMT. The NPI Number for Brenton D Ebersole is 1437699857 and holds a License No. 227.019517 (Illinois).

The current practice location address for Brenton D Ebersole is 8 N Missouri Ave, Belleville, IL and can be reached out via phone at 618-310-5995. You can also correspond with Brenton D Ebersole through the mailing address at 8 N MISSOURI AVE, BELLEVILLE, IL - 62220-3948 (mailing address contact number: 618-310-5995).

Location: 8 N Missouri Ave, Belleville, IL, 62220-3948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437699857
Provider Name
Brenton D Ebersole
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
8 N Missouri Ave, Belleville, IL, 62220-3948
Phone Number
618-310-5995
Fax Number
Provider Enumeration Date
03/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8 N Missouri Ave
City
Belleville
State
Illinois
Zip
62220-3948
Phone Number
618-310-5995
Fax Number
person
Provider Business Mailing Address Details
Address
8 N Missouri Ave
City
Belleville
State
Illinois
Zip
62220-3948
Phone Number
618-310-5995
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227.019517 (Illinois)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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