Courtney E Bryan Jr., LMT
Massage Therapist in Seattle, WA. Individual provider (NPI-1).
NPI number1982122834
StatusActive
Last updated in NPPESAug 30, 2017
Details
- NPI
- 1982122834
- Entity type
- Individual (NPI-1)
- Name
- Mr. Courtney E Bryan Jr.
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2017
- Last updated
- Aug 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA60539016 | WA | Yes |
Practice location
3302 Fuhrman Ave E Ste 110Seattle, WA 98102-7115
Phone 206-402-4012
Mailing address
1900 8th Ave NSeattle, WA 98109-2711
Phone 360-451-3098
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