| Edward Teddy Jeter, | |
|
2108 Independence Sq, West Plains, MO 65775-4224 | |
| (417) 293-4875 | |
| Not Available |
| Full Name | Edward Teddy Jeter |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 2108 Independence Sq, West Plains, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972423648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 2026023618 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Teddy Jeter, 2108 Independence Sq, West Plains, MO 65775-4224 Ph: (417) 293-4875 | Edward Teddy Jeter, 2108 Independence Sq, West Plains, MO 65775-4224 Ph: (417) 293-4875 |
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