Individual
BRANDI BANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1329 CHERRY WAY DR STE 500, GAHANNA, OH 43230-6782
(614) 407-1225
Mailing address
131 ROSEBROOK CT, REYNOLDSBURG, OH 43068-4344
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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