Individual
BRENDON M. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
4111 E VALLEY AUTO DR, SUITE 201, MESA, AZ 85206-4605
(602) 369-0823
Mailing address
2670 S VOYAGER DR, SUITE 101, GILBERT, AZ 85295-1294
(602) 369-0823
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-13257
AZ
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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