Brenton D Ebersole, LMT is a massage therapist in Belleville, IL. 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. Brenton D Ebersole, LMT NPI is 1437699857. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8 N MISSOURI AVE
BELLEVILLE, IL
ZIP 62220-948
Phone: (618) 310-5995
The enumeration date for this NPI number is 3/3/2017 and was last updated on 3/3/2017.