NPI 1023514353

Kyle Henry Brockmann, LMT

Practitioner Massage Therapist Lake Hopatcong, NJ

Practice location

Address: 3 Jerry Dr, Lake Hopatcong, NJ 07849-1416
Phone: (570) 228-1446

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 18KT01055300 (NJ)

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Registry record

NPI: 1023514353
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2018
Record last updated: 4 Apr 2018

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.