Mr Bradley Ryan Coneharrison, LMT is a
Massage Therapist based in Shamokin, Pennsylvania. Mr Bradley Ryan Coneharrison is licensed to practice in Pennsylvania (license number MSG013254) and his current practice location is
453 S Shamokin St, Shamokin, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(272) 241-9069.
NPI number for Mr Bradley Ryan Coneharrison is 1659991206 and his current mailing address is 453 S Shamokin St, Shamokin, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659991206.
Healthcare Provider's Profile
Full Name | Mr Bradley Ryan Coneharrison |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 453 S Shamokin St, Shamokin, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659991206
- Provider Enumeration Date: 04/23/2020
- Last Update Date: 04/23/2020
Medical Identifiers
Medical identifiers for Mr Bradley Ryan Coneharrison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659991206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MSG013254 (Pennsylvania) | 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. Mr Bradley Ryan Coneharrison 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 |
Mr Bradley Ryan Coneharrison, LMT 453 S Shamokin St, Shamokin, PA 17872-6407 Ph: (272) 241-9069 | Mr Bradley Ryan Coneharrison, LMT 453 S Shamokin St, Shamokin, PA 17872-6407 Ph: (272) 241-9069 |
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