Individual
BRENNAN VANDEKERCKHOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1967 MORRILL ST REAR STUDIO, SARASOTA, FL 34236-6934
(248) 520-7237
Mailing address
787 LOCKLEAR AVE, SARASOTA, FL 34237-8317
(248) 520-7237
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA89095
FL
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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