Jason Goodbrake, CMT, SI

NPI #1710351671 in Mc Lean, Virginia

Provider Information

NPI Number: 1710351671
Entity Type: Individual
Name: Jason Goodbrake, CMT, SI
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: CMT, SI
Enumeration Date: Nov 16, 2015
Last Updated: Nov 16, 2015

Practice Location

Address: 1485 CHAIN BRIDGE RD STE 101
City: Mc Lean
State: Virginia
ZIP Code: 22101-4513
Phone: (334) 301-2710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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