Brandon Watts - Massage Therapist in Columbia, Maryland | ProviderWire

Full Name

Brandon Watts

NPI Number

1528777687

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/17/2022

Specialties

(Taxonomies)

Name

Massage Therapist

Code

225700000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

M06327

Contact
Information

Purpose

Mailing

Location

Address

6000 MERRIWEATHER DR UNIT 2062

6000 MERRIWEATHER DR UNIT 2062

City

Columbia

Columbia

State

MD

MD

Postal Code

21044-3774

21044-3774

Country

US

US

Telephone Number

N/A

(225) 262-9167

Identifiers

Identifier

M06327

Identifier State

MD

Identifier Issuer

MASSAGE THERAPIST

Health Information Exchange

Endpoint Type

SOAP

Endpoint

Jane.app

Endpoint Description

Unknown

Use

Direct

Content Type

CSV

Affiliation

N

Endpoint Location

6000 Merriweather Dr Unit 2062Columbia, MD210443774US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/17/2022

Provider Address

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