Individual
KEITH HOWARD MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2416 VIRGINIA BEACH BLVD STE 203, VIRGINIA BEACH, VA 23454-3993
(815) 535-8765
Mailing address
3740 VIRGINIUS DR, VIRGINIA BEACH, VA 23452-3510
(815) 535-8765
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019013542
VA
Other
Enumeration date
05/22/2022
Last updated
05/22/2022
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