Dallas Bryant, LMT is a
Massage Therapist based in Mount Laurel, New Jersey. Dallas Bryant is licensed to practice in New Jersey (license number 18KT00436200) and his current practice location is
813 E Gate Dr Ste B, Mount Laurel, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(215) 873-1168.
NPI number for Dallas Bryant is 1396136388 and his current mailing address is 207 Nathaniel Ave, Cherry Hill, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396136388.
Healthcare Provider's Profile
Full Name | Dallas Bryant |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 813 E Gate Dr Ste B, Mount Laurel, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396136388
- Provider Enumeration Date: 02/11/2015
- Last Update Date: 02/11/2015
Medical Identifiers
Medical identifiers for Dallas Bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396136388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 18KT00436200 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dallas Bryant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dallas Bryant, LMT 207 Nathaniel Ave, Cherry Hill, NJ 08003-1528 Ph: (215) 873-1168 | Dallas Bryant, LMT 813 E Gate Dr Ste B, Mount Laurel, NJ 08054-1238 Ph: (215) 873-1168 |
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