FREDRICK LEE EAGLES
NPI 1669014767
Massage Therapist in Springfield, MO

NPI Status: Active since October 10, 2019

Contact Information

1200 E WOODHURST DR STE Q100
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 877-1300

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  • Individual
  • Male
  • Massage Therapist

About FREDRICK EAGLES

This page provides the complete NPI Profile along with additional information for Fredrick Eagles, a provider established in Springfield, Missouri with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1669014767 assigned on October 2019. The practitioner's primary taxonomy code is 225700000X with license number 2002017980 (MO). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1669014767
Provider Name
FREDRICK LEE EAGLES
Gender
Male
Entity Type
Individual
Location Address
1200 E WOODHURST DR STE Q100 SPRINGFIELD, MO 65804
Location Phone
(417) 877-1300
Mailing Address
1200 E WOODHURST DR STE Q100 SPRINGFIELD, MO 65804
Mailing Phone
(417) 877-1300
Is Sole Proprietor?
Yes
Enumeration Date
10-10-2019
Last Update Date
10-10-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2002017980
License State
MO
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12472E0500XTechnologists, Technicians & Other Technical Service Providers

Technician, Other
EEG

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669014767
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26129018712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 0 + 1 + 8 + 7 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1669014767 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801438007 DR FAITH NELSON EAGLES
Individual
Registered Nurse (Nurse Massage Therapist (NMT))1200 E WOODHURST DR STE Q100
SPRINGFIELD, MO 65804
(417) 877-1300
1609953801 SHARI K. NORVAL AU.D.
Individual
Audiologist1200 E WOODHURST DR STE Q100
SPRINGFIELD, MO 65804
(417) 920-5434
1326779760DISCOVER AUDIOLOGY, LLC
Organization
Audiologist1200 E WOODHURST DR STE Q100
SPRINGFIELD, MO 65804
(417) 920-5434

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669014767, enumerated in the NPI registry as an "individual" on October 10, 2019

The provider is located at 1200 E Woodhurst Dr Ste Q100 Springfield, Mo 65804 and the phone number is (417) 877-1300

The provider's speciality is Massage Therapist with taxonomy code 225700000X

This NPI record was last updated on October 10, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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