Individual provider · Type 1 NPI

William Brevard Iii

Massage Therapist · Anaheim, CA

NPI number 1124626916 Active

Practice location

1645 W Palm Ln Apt 32
Anaheim, CA 92802-2022

Call (714) 926-2370 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X48803 (CA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1124626916

William Brevard Iii's National Provider Identifier is 1124626916, issued on Oct 13, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Anaheim, CA. The record was last updated on Oct 13, 2020.