EDA DANIELLE DEATON LMT NPI 1689071276

NPI Information

NPI: 1689071276
Provider Name: EDA DANIELLE DEATON, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
408 VINE ST
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 686-1118
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Eda Danielle Deaton, LMT is a massage therapist in Poplar Bluff, MO. The provider is 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. Eda Danielle Deaton, LMT NPI is 1689071276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

408 VINE ST
POPLAR BLUFF, MO
ZIP 63901-838
Phone: (573) 686-1118
Fax: (573) 686-5109

The enumeration date for this NPI number is 11/25/2014 and was last updated on 11/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		2004020981	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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