| Brenton D Ebersole, LMT | |
|
8 N Missouri Ave, Belleville, IL 62220-3948 | |
| (618) 310-5995 | |
| Not Available |
| Full Name | Brenton D Ebersole |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 8 N Missouri Ave, Belleville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437699857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 227.019517 (Illinois) | Primary |
| 225700000X | Massage Therapist | 2014007249 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Brenton D Ebersole, LMT 8 N Missouri Ave, Belleville, IL 62220-3948 Ph: (618) 310-5995 | Brenton D Ebersole, LMT 8 N Missouri Ave, Belleville, IL 62220-3948 Ph: (618) 310-5995 |
Ms. Carla Jean Vandenburgh, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Lebanon Ave Ste 101, Belleville, IL 62221 Phone: 618-978-7407 | |
Mrs. Lola Herndon, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 844 Wilshire Dr, Belleville, IL 62223 Phone: 314-380-4202 | |
Mr. Kyle Brunsmann, MSR, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Lebanon Ave, Belleville, IL 62220 Phone: 618-619-8200 | |
Mr. Dean Chris Harris, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Lebanon Ave, Suite 101, Belleville, IL 62221 Phone: 618-239-6269 Fax: 618-239-6269 |