Brenda J. Martin, LMT, CCA

NPI #1164702916 in Red Hook, New York

Provider Information

NPI Number: 1164702916
Entity Type: Individual
Name: Brenda J. Martin, LMT, CCA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, CCA
Enumeration Date: Aug 25, 2011
Last Updated: Aug 25, 2011

Practice Location

Address: 7476 S BROADWAY
City: Red Hook
State: New York
ZIP Code: 12571-1772
Phone: (845) 702-2066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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