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BONNIE RAE BROWN LMT

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist

Provider NPI: 1780917633

Provider Information:
 BONNIE RAE BROWN LMT
Gender: F
Not Sole Proprietor

Practice Location:
823 N LIMESTONE ST  SPRINGFIELD, OH 45503-3609 US
Tel: 937-717-4828  Fax: 937-717-6539

Business Mailing Address:
1450 E US HIGHWAY 36  URBANA, OH 43078-9112 US
Tel: 937-653-7333  Fax: 937-652-4574

NPI Information:
NPI: 1780917633
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
OH014361

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 225700000X

Type:

Classification:



Definition:



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