NPI 1669923058

Brandywine Bodywork

Organisation Massage Therapist Wilmington, DE

Practice location

Address: 1400 Philadelphia Pike, Wilmington, DE 19809-1856
Phone: (302) 798-0801
Fax: (302) 798-3127

Authorised official

Name: Kimberly Marie Shahan
Title: Owner
Phone: (302) 798-0801

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT0004411 (DE)

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Registry record

NPI: 1669923058
Entity type: Organization
NPI issued: 20 Oct 2016
Record last updated: 20 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.