Individual
MR. SAMUEL BRANDON NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2390 TWAIN AVE, MEMPHIS, TN 38114-4213
(901) 314-0901
Mailing address
2390 TWAIN AVE, MEMPHIS, TN 38114-4213
(901) 314-0901
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5552
TN
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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