Individual
RUSSELL HUGH EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
224 S WOODS MILL RD, SUITE 610 SOUTH, CHESTERFIELD, MO 63017
(314) 205-6551
(314) 576-2371
Mailing address
5680 OAK GROVE CHURCH RD, LONEDELL, MO 63066
(636) 629-5911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00983
MO
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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