Individual
RENEE S EBERHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
34406 N 27TH DR, BLDG 2, SUITE 108, PHOENIX, AZ 85085-6082
(623) 266-1700
Mailing address
3022 W MATTHEW DR, PHOENIX, AZ 85027-2364
(623) 243-6925
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-11488
AZ
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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