Individual provider · Type 1 NPI

Pandora Broyles, MT

Massage Therapist · Dayton, OH

NPI number 1477226629 Active

Practice location

7026 Corporate Way Ste 110
Dayton, OH 45459-4240

Call (937) 609-4694 Map

Mailing address

619 Crestmont Dr
Beavercreek, OH 45431-2949

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X33.004455 (OH)

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 1477226629

Pandora Broyles, MT's National Provider Identifier is 1477226629, issued on Jul 25, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dayton, OH. The record was last updated on Jul 25, 2021.