| Bryson T Hennington, | |
|
1717 N Verdugo Rd Apt 251, Glendale, CA 91208-2968 | |
| (512) 917-4913 | |
| Not Available |
| Full Name | Bryson T Hennington |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 1717 N Verdugo Rd Apt 251, Glendale, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851052518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 88924 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bryson T Hennington, 1717 N Verdugo Rd Apt 251, Glendale, CA 91208-2968 Ph: (512) 917-4913 | Bryson T Hennington, 1717 N Verdugo Rd Apt 251, Glendale, CA 91208-2968 Ph: (512) 917-4913 |
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