Individual
BREANN M WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1500 W 38TH ST STE 27, AUSTIN, TX 78731-6317
(720) 507-6684
Mailing address
1500 W 38TH ST STE 27, AUSTIN, TX 78731-6317
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
125100
TX
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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