Individual
REBECCA EADIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
105 S JEFFERSON AVE, LEBANON, MO 65536-2920
(417) 531-2248
Mailing address
11 WILLOW LN, LEBANON, MO 65536-3562
(417) 531-2248
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2026016520
MO
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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