NPI 1538302211

Charles Branch, LMT

Practitioner Mechanotherapist Saint Ann, MO

Practice location

Address: 10870 Pear Blossom CT APT. C, Saint Ann, MO 63074-1245
Phone: (314) 327-7604

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 2008026601 (MO)

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Registry record

NPI: 1538302211
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2009
Record last updated: 10 Apr 2009

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.