MR. Brian James Wise, LMP
NPI #1053715771 in Bellevue, Washington
Provider Information
- NPI Number
- 1053715771
- Entity Type
- Individual
- Name
- MR. Brian James Wise, LMP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- LMP
- Enumeration Date
- Oct 9, 2014
- Last Updated
- Oct 9, 2014
Practice Location
- Address
- 1611 116TH AVE NE
- Address 2
- 200
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98004-3045
- Phone
- (425) 455-0088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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