Individual
DR FAITH NELSON EAGLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E WOODHURST DR STE Q100, SPRINGFIELD, MO 65804-4240
(417) 877-1300
(417) 877-1335
Mailing address
1200 E WOODHURST DR STE Q100, SPRINGFIELD, MO 65804-4240
(417) 877-1300
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
840826
MO
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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