Individual
BRYAN CHARLES MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
610 GOLDEN GATE CIR, PAPILLION, NE 68046-2801
(402) 819-9696
Mailing address
603 S WASHINGTON ST, APT. 12, PAPILLION, NE 68046-2653
(515) 418-7529
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
04115
IA
225700000X
Massage Therapist
Primary
3205
NE
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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