Individual
BETHANY J BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
112 W PARK, ASH FORK, AZ 86320
(855) 277-5901
Mailing address
PO BOX 364, WILLIAMS, AZ 86046-0364
(520) 490-7142
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-25363
AZ
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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