Braden Wayne Pewitt, LMP
NPI #1326385337 in College Place, Washington
Provider Information
- NPI Number
- 1326385337
- Entity Type
- Individual
- Name
- Braden Wayne Pewitt, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMP
- Enumeration Date
- Jan 10, 2013
- Last Updated
- Dec 20, 2013
Practice Location
- Address
- 718 S COLLEGE AVE
- City
- College Place
- State
- Washington
- ZIP Code
- 99324-1519
- Phone
- (509) 240-4913
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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