Individual
BRYAN MICHAEL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1565 SAXON BLVD, STE 301, DELTONA, FL 32725-5876
(386) 851-0901
Mailing address
1565 SAXON BLVD, STE 301, DELTONA, FL 32725-5876
(386) 851-0901
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA74126
FL
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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