Individual
BRANDON KEITH POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10175 SPENCER ST, LAS VEGAS, NV 89183-6875
(702) 701-3813
Mailing address
10175 SPENCER ST, LAS VEGAS, NV 89183-6875
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NVMT.9967
NV
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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