MEDICARE: ERIC CHRISTIAN SILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	2024026730	MO

General Provider Information

NPI Number	:	1265256267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC CHRISTIAN SILL

Provider Business Mailing Address
First Line	:	5951 NW 63RD ST # 3-3103
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-3406
Country	:	US
Telephone Number	:	913-701-1799
Fax Number	:

Provider Business Practice Location Address
First Line	:	5951 NW 63RD ST # 3-3103
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-3406
Country	:	US
Telephone Number	:	913-701-1799
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2024
Last Update Date	:	11/14/2024

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Directions to “ ERIC CHRISTIAN SILL ” Practice Location

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