| Eda Danielle Deaton, LMT | |
|
408 Vine St, Poplar Bluff, MO 63901-5838 | |
| (573) 686-1118 | |
| (573) 686-5109 |
| Full Name | Eda Danielle Deaton |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 408 Vine St, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689071276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 2004020981 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Eda Danielle Deaton, LMT 408 Vine St, Poplar Bluff, MO 63901-5838 Ph: (573) 686-1118 | Eda Danielle Deaton, LMT 408 Vine St, Poplar Bluff, MO 63901-5838 Ph: (573) 686-1118 |
Miss Lora Nichole Butler, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 805 W Pine St, Poplar Bluff, MO 63901 Phone: 573-785-2225 | |
Dana Tharp, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-718-7253 |