Brandi Marie Childers, LMP

NPI #1285952325 in Longview, Washington

Provider Information

NPI Number: 1285952325
Entity Type: Individual
Name: Brandi Marie Childers, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: May 13, 2010
Last Updated: May 13, 2010

Practice Location

Address: 1146 COMMERCE AVE
City: Longview
State: Washington
ZIP Code: 98632-3025
Phone: (360) 577-6956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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