FREDRICK LEE EAGLES

SPRINGFIELD, MO
NPI1669014767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: MO  2002017980)
Additional Taxonomies2472E0500X 
Enumeration Date2019-10-10
Last Update Date2019-10-10
Business Address
FREDRICK LEE EAGLES
1200 E WOODHURST DR STE Q100
SPRINGFIELD, MO 65804-4240
Phone number: 417-877-1300
Mailing Address
FREDRICK LEE EAGLES
1200 E WOODHURST DR STE Q100
SPRINGFIELD, MO 65804-4240
Phone number: 417-877-1300