NPI 1457665895

Bryan Shane Epperly, LMTICMT

Practitioner Mechanotherapist Austin, TX

Practice location

Address: 1902-D South Congress Ave. Suite #4, Austin, TX 78704
Phone: (512) 809-6708
Mailing address: 1518 Barton Springs Rd #49, Austin, TX 78704-8880

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 100088 (TX)

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Registry record

NPI: 1457665895
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2010
Record last updated: 27 Jul 2010

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.