NPI 1629252036

Mary Ellen Brace, LMT

Practitioner Contractor Martinsburg, WV

Practice location

Address: 298 Troy Ave, Martinsburg, WV 25404-5455
Phone: (304) 283-2842

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 2004-1439 (WV)

Other Contractor providers in West Virginia →

Registry record

NPI: 1629252036
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2007
Record last updated: 20 Dec 2007

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.