| Mrs Lola Herndon, | |
|
844 Wilshire Dr, Belleville, IL 62223-2623 | |
| (314) 380-4202 | |
| Not Available |
| Full Name | Mrs Lola Herndon |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 844 Wilshire Dr, Belleville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497354104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 2014031513 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lola Herndon, 844 Wilshire Dr, Belleville, IL 62223-2623 Ph: (314) 380-4202 | Mrs Lola Herndon, 844 Wilshire Dr, Belleville, IL 62223-2623 Ph: (314) 380-4202 |
Ms. Carla Jean Vandenburgh, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Lebanon Ave Ste 101, Belleville, IL 62221 Phone: 618-978-7407 | |
Brenton D Ebersole, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 N Missouri Ave, Belleville, IL 62220 Phone: 618-310-5995 | |
Mr. Kyle Brunsmann, MSR, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Lebanon Ave, Belleville, IL 62220 Phone: 618-619-8200 | |
Mr. Dean Chris Harris, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Lebanon Ave, Suite 101, Belleville, IL 62221 Phone: 618-239-6269 Fax: 618-239-6269 |