MR. Brent M Sanders, LMP

NPI #1679504567 in University Place, Washington

Provider Information

NPI Number: 1679504567
Entity Type: Individual
Name: MR. Brent M Sanders, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Jul 6, 2006
Last Updated: Sep 14, 2010

Practice Location

Address: 2607 BRIDGEPORT WAY WEST
Address 2: SUITE 1A
City: University Place
State: Washington
ZIP Code: 98466-4725
Phone: (253) 564-2353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Massage Therapist	225700000X

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