Brenton D Ebersole, LMT
NPI #1437699857 in Belleville, Illinois
Provider Information
- NPI Number
- 1437699857
- Entity Type
- Individual
- Name
- Brenton D Ebersole, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Mar 3, 2017
- Last Updated
- Mar 3, 2017
Practice Location
- Address
- 8 N MISSOURI AVE
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-3948
- Phone
- (618) 310-5995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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