BENJAMIN EDWARD BRODIE CMT NMT NPI 1467927186

NPI Information

NPI: 1467927186
Provider Name: BENJAMIN EDWARD BRODIE, CMT, NMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
10990 WARNER AVE STE B
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 593-8881
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Benjamin Edward Brodie, CMT, NMT is a massage therapist in Fountain Valley, CA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Benjamin Edward Brodie, CMT, NMT NPI is 1467927186. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10990 WARNER AVE STE B
FOUNTAIN VALLEY, CA
ZIP 92708-849
Phone: (714) 593-8881

The enumeration date for this NPI number is 10/9/2018 and was last updated on 10/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		75327	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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