Individual provider · Type 1 NPI

Fredrick Lee Eagles

Massage Therapist · Springfield, MO

NPI number 1669014767 Active

Practice location

1200 E Woodhurst Dr Ste Q100
Springfield, MO 65804-4240

Call (417) 877-1300 Map

Specialties and licenses

TaxonomyCodeLicense
EEG Technician 2472E0500XNone listed
Massage Therapist Primary 225700000X2002017980 (MO)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1669014767

Fredrick Lee Eagles's National Provider Identifier is 1669014767, issued on Oct 10, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Springfield, MO. The record was last updated on Oct 10, 2019.