Individual
MR. BRADLEY RYAN CONEHARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
453 S SHAMOKIN ST, SHAMOKIN, PA 17872-6407
(272) 241-9069
Mailing address
453 S SHAMOKIN ST, SHAMOKIN, PA 17872-6407
(272) 241-9069
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG013254
PA
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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