OrganizationActive
Advanced Massage and Bodywork, LLC
NPI 1730484148 · Mechanotherapist · Wood River, IL
Provider details
- NPI number
- 1730484148
- Entity type
- Organization
- Primary specialty
- MechanotherapistOther Service Providers
- Authorized official
- Kay Eberhart, Owner
- License
- 227.007642 (IL)
Mailing address
82 E Ferguson Ave
Wood River, IL 62095-1904
Registry dates
- Enumerated
- 2011-01-14
- Last updated
- 2011-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.