Individual
KAY EBERHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.M.P.
Contact information
Practice address
82 E FERGUSON AVE, WOOD RIVER, IL 62095-1904
(618) 254-2626
Mailing address
82 E FERGUSON AVE, WOOD RIVER, IL 62095-1904
(618) 254-2626
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.007642
IL
Other
Enumeration date
07/14/2009
Last updated
01/13/2011
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