Brandon Blair NCTMB

NPI 1205173697 - Massage Therapist - 225700000X

NPI Details
NPI 1205173697
Gender Male
Enumeration Date 01/07/2013
Last Updated 01/07/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
455 E 400 S
STE 20
SALT LAKE CITY UT, 84111-3008, US
Phone (801) 633-9966
Fax
Business Location
3832 S BIG RIVER WAY
UNIT 2
SALT LAKE CITY UT, 84119-7430, US
Phone (801) 633-9966
Fax
Toxanomy
Taxonomy Code 225700000X
License State Utah
License Number 5716461-4701
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According to our database, Brandon Blair NCTMB NPI is 1205173697, taxonomy code is 225700000X and license number is 5716461-4701, license state is located at Utah. Brandon Blair NCTMB physically located at 455 E 400 S, Salt Lake City UT, 84111-3008. NPI Number Brandon Blair NCTMB has the Individual type.

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1205173697 NPI number is provided on an as is basis without warranty of any kind. 1205173697 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon Blair NCTMB are for informational purposes only.