Rudy Benham
Massage Therapist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1477297679
StatusActive
Last updated in NPPESApr 24, 2022
Details
- NPI
- 1477297679
- Entity type
- Individual (NPI-1)
- Name
- Rudy Benham
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2022
- Certification date
- Apr 24, 2022
- Last updated
- Apr 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MSG011019 | PA | Yes |
Practice location
644 Franklin PlPhiladelphia, PA 19123-3410
Phone 267-776-9720
Mailing address
644 Franklin PlPhiladelphia, PA 19123-3410
Phone 267-776-9720
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