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Fredrick Lee Eagles
Massage Therapist in Springfield, Missouri
NPI 1669014767

Fredrick Lee Eagles is a Massage Therapist based in Springfield, MO. Fredrick Lee Eagles practices in Springfield, MO. The NPI Number for Fredrick Lee Eagles is 1669014767 and holds a License No. (Missouri).

The current practice location address for Fredrick Lee Eagles is 1200 E Woodhurst Dr Ste Q100, Springfield, MO and can be reached out via phone at 417-877-1300.

Location: 1200 E Woodhurst Dr Ste Q100, Springfield, MO, 65804-4240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669014767
Provider Name
Fredrick Lee Eagles
Credential
Provider Entity Type
Individual
Gender
Male
Address
1200 E Woodhurst Dr Ste Q100, Springfield, MO, 65804-4240
Phone Number
417-877-1300
Fax Number
Provider Enumeration Date
10/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1200 E Woodhurst Dr Ste Q100
City
Springfield
State
Missouri
Zip
65804-4240
Phone Number
417-877-1300
Fax Number
person
Provider Business Mailing Address Details
Address
1200 E Woodhurst Dr Ste Q100
City
Springfield
State
Missouri
Zip
65804-4240
Phone Number
417-877-1300
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
2002017980 (Missouri)
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.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
EEG
Taxonomy
2472E0500X
License No.
()
Definition
Definition to come...
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