Individual
BRIAN WINGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2021 21ST AVE S STE 309, NASHVILLE, TN 37212-4358
(615) 496-0782
Mailing address
544 WESTBORO DR, NASHVILLE, TN 37209-1744
(615) 496-0782
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4011
TN
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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