Individual
MR. BRANDON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1324 STOYSTOWN RD, FRIEDENS, PA 15541-7504
(814) 289-1914
Mailing address
1324 STOYSTOWN RD, FRIEDENS, PA 15541-7504
(814) 289-1914
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG012242
PA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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