Organization
ADVANCED MASSAGE AND BODYWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY EBERHART M.M.P. (OWNER)
(618) 254-2626
Entity
Organization
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
172M00000X
Mechanotherapist
Primary
227.007642
IL
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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