FREDRICK LEE EAGLES
NPI 1669014767
Massage Therapist in Springfield, MO

Active since October 10, 2019
1200 E WOODHURST DR STE Q100, SPRINGFIELD, MO 65804(417) 877-1300 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fredrick Lee Eagles NPPES

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

FREDRICK LEE EAGLES (NPI 1669014767) is an individual massage therapist in Springfield, Missouri, licensed in Missouri (2002017980) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1669014767
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameFREDRICK LEE EAGLES
Location Address1200 E WOODHURST DR STE Q100Springfield, MO 65804-4240
Mailing Address1200 E Woodhurst Dr Ste Q100Springfield, MO 65804-4240 · (417) 877-1300
Sole ProprietorYes
Enumeration DateOctober 10, 2019
NPI 1669014767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in MO · 2002017980
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.
Also ListedTechnician, Other · EEGTaxonomy 2472E0500X
1200 E WOODHURST DR STE Q100, Springfield, MO 65804

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
1200 E WOODHURST DR STE Q100
SPRINGFIELD, MO 65804
Audiologist
1200 E WOODHURST DR STE Q100
SPRINGFIELD, MO 65804
Registered Nurse (Nurse Massage Therapist (NMT))
1200 E WOODHURST DR STE Q100
SPRINGFIELD, MO 65804

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 Fredrick Eagles's NPI number?

The NPI number for Fredrick Eagles is 1669014767. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Fredrick Eagles located?

Fredrick Eagles practices at 1200 E Woodhurst Dr Ste Q100, Springfield, MO 65804. The listed phone number is (417) 877-1300.

What is Fredrick Eagles'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 Fredrick Eagles was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.