Organization
BRANDYWINE BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY MARIE SHAHAN LMT (OWNER)
(302) 798-0801
Entity
Organization
Contact information
Practice address
1400 PHILADELPHIA PIKE, WILMINGTON, DE 19809-1856
(302) 798-0801
(302) 798-3127
Mailing address
1400 PHILADELPHIA PIKE, WILMINGTON, DE 19809-1856
(302) 798-0801
(302) 798-3127
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0004411
DE
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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