Jason Goodbrake, CMT, SI | |
1485 Chain Bridge Rd Ste 101, Mc Lean, VA 22101-4513 | |
(334) 301-2710 | |
Not Available |
Full Name | Jason Goodbrake |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 1485 Chain Bridge Rd Ste 101, Mc Lean, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710351671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 0019007563 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jason Goodbrake, CMT, SI 1485 Chain Bridge Rd Ste 101, Mc Lean, VA 22101-4513 Ph: () - | Jason Goodbrake, CMT, SI 1485 Chain Bridge Rd Ste 101, Mc Lean, VA 22101-4513 Ph: (334) 301-2710 |
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