Individual provider · Type 1 NPI

Eda Danielle Deaton, LMT

Massage Therapist · Poplar Bluff, MO

NPI number 1689071276 Active

Practice location

408 Vine St
Poplar Bluff, MO 63901-5838

Fax (573) 686-5109

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2004020981 (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 1689071276

Eda Danielle Deaton, LMT's National Provider Identifier is 1689071276, issued on Nov 25, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Nov 25, 2014.