Individual provider · Type 1 NPI

Dallas Bryant, LMT

Massage Therapist · Mount Laurel, NJ

NPI number 1396136388 Active

Practice location

813 E Gate Dr Ste B
Mount Laurel, NJ 08054-1238

Mailing address

207 Nathaniel Ave
Cherry Hill, NJ 08003-1528

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18KT00436200 (NJ)

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 1396136388

Dallas Bryant, LMT's National Provider Identifier is 1396136388, issued on Feb 11, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mount Laurel, NJ. The record was last updated on Feb 11, 2015.