Individual provider · Type 1 NPI

Brandon Bromberg, LMT

Massage Therapist · Fairhope, AL

NPI number 1902319932 Active

Practice location

901 Gayfer Ave Apt 1314
Fairhope, AL 36532-3906

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4890 (AL)

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 1902319932

Brandon Bromberg, LMT's National Provider Identifier is 1902319932, issued on Nov 13, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fairhope, AL. The record was last updated on Nov 13, 2017.