NPI 1336390152

Bryson Braasch, RPHLACU

Practitioner Acupuncturist Fort Wayne, IN

Practice location

Address: 6821 Woodcrest Dr, Fort Wayne, IN 46815-5570
Phone: (260) 402-7643

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 84000104A (IN)

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Registry record

NPI: 1336390152
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2008
Record last updated: 10 Oct 2008

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.