Individual
BRANDON ALEXANDER KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4507 LACLEDE AVE, SAINT LOUIS, MO 63108-2103
(636) 352-7384
Mailing address
5027 LINDENWOOD AVE # A, SAINT LOUIS, MO 63109-1728
(636) 352-7384
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2019000900
MO
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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