Individual
BRANDON WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6000 MERRIWEATHER DR UNIT 2062, COLUMBIA, MD 21044-3774
(225) 262-9167
Mailing address
6000 MERRIWEATHER DR UNIT 2062, COLUMBIA, MD 21044-3774
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M06327
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M06327
MASSAGE THERAPIST
MD
Enumeration date
11/17/2022
Last updated
11/17/2022
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