Brandon Tyler Ahlstedt, LMT

NPI #1588415897 in Ocean Springs, Mississippi

Provider Information

NPI Number: 1588415897
Entity Type: Individual
Name: Brandon Tyler Ahlstedt, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 27, 2024
Last Updated: Mar 27, 2024

Practice Location

Address: 6819 WASHINGTON AVE STE F
City: Ocean Springs
State: Mississippi
ZIP Code: 39564-2181
Phone: (228) 697-8860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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