Heather Bryan

NPI #1245860279 in Longview, Washington

Provider Information

NPI Number: 1245860279
Entity Type: Individual
Name: Heather Bryan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jan 17, 2020
Last Updated: Jan 17, 2020

Practice Location

Address: 820 OCEAN BEACH HWY STE 116
City: Longview
State: Washington
ZIP Code: 98632-4081
Phone: (360) 414-3220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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