1. Home
  2. Directory
  3. Illinois
  4. Belleville
  5. Massage Therapist
  6. NPI Profile

BRENTON D EBERSOLE LMT
NPI 1437699857
Massage Therapist in Belleville, IL

Active since March 03, 2017
8 N MISSOURI AVE, BELLEVILLE, IL 62220(618) 310-5995 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brenton D Ebersole Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENTON D EBERSOLE LMT (NPI 1437699857) is an individual massage therapist in Belleville, Illinois, licensed in Illinois (227.019517) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1437699857
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameBRENTON D EBERSOLECredential: LMT
Location Address8 N MISSOURI AVEBelleville, IL 62220-3948
Mailing Address8 N Missouri AveBelleville, IL 62220-3948 · (618) 310-5995
Phone(618) 310-5995
Sole ProprietorYes
Enumeration DateMarch 3, 2017
✔ NPI 1437699857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Licenses✔ Licensed in IL · 227.019517✔ Licensed in MO · 2014007249
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.
8 N MISSOURI AVE, Belleville, IL 62220
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenton Ebersole's NPI number?

The NPI number for Brenton Ebersole is 1437699857. It was assigned to this individual provider in the NPPES registry on March 3, 2017.

Where is Brenton Ebersole located?

Brenton Ebersole practices at 8 N Missouri Ave, Belleville, IL 62220. The listed phone number is (618) 310-5995.

What is Brenton Ebersole's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Brenton Ebersole was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.