Charles Branch, LMT

NPI #1538302211 in Saint Ann, Missouri

Provider Information

NPI Number: 1538302211
Entity Type: Individual
Name: Charles Branch, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: LMT
Enumeration Date: Apr 10, 2009
Last Updated: Apr 10, 2009

Practice Location

Address: 10870 PEAR BLOSSOM CT
Address 2: APT. C
City: Saint Ann
State: Missouri
ZIP Code: 63074-1245
Phone: (314) 327-7604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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