Individual
PAUL EUBANKS
Active
Individual
PAUL EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.008655
IL
225700000X
Massage Therapist
4988-146
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227.008655
MASSAGE THERAPIST
IL
01
—
4988-146
MASSAGE THERAPIST
WI
Enumeration date
12/20/2011
Last updated
12/20/2011
Update your record
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