Individual
ERIC DEAN ASHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, CMLDT
Contact information
Practice address
743 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-4125
(417) 849-9730
Mailing address
2640 E INMAN ST, SPRINGFIELD, MO 65804-4659
(417) 894-7191
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2021050408
MO
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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