Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENTON D EBERSOLE, LMT
Active Sole ProprietorBRENTON D EBERSOLE, LMT is a Massage Therapist healthcare provider located in BELLEVILLE, Illinois. NPI 1437699857 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · BELLEVILLE, IL
Registration Details
- NPI Number
- 1437699857
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2017 (9.4129973513051 yrs)
- Last Updated
- Mar 3, 2017
- Licenses
-
227.019517 (IL)2014007249 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8 N MISSOURI AVEBELLEVILLE, IL, 622203948Browse IL providers · Browse ZIP 62220
- Phone
- 6183105995
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Massage Therapist
Other Massage Therapist Providers in BELLEVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| MR. DEAN CHRIS HARRIS | LMT | 1891819884 |
| MS. CARLA JEAN VANDENBURGH | MASSAGE THERAPIST | 1124368683 |
| MR. KYLE BRUNSMANN | MSR, LMT | 1619519725 |
| MRS. LOLA HERNDON | — | 1497354104 |
| LAEISHA ALDRIDGE | LMT | 1235930900 |
| TIFFANY TULLY | — | 1952105181 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.