Doctor Name: | MR. TIMOTHY JAMES EBERWEIN |
NPI Number: | 1134352420 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | MA56903 |
Business Practice Address: | 225 Hickory St Missoula, MT - 598011856 |
Business Phone Number: | 4065299195 |
Business Fax Number: | |
Mailing Address: | Po Box 3524, MISSOULA |
State: | MT |
Postal Code: | 598063524 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/02/2009 |
NPI Last Update Date: | 12/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA56903 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |