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Contact Information

WILLIE D BRYANT, LMT, CA
28515 N NORTH VALLEY PWKY
1137
PHOENIX, AZ85085
 Phone: 623-272-6943
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for WILLIE D BRYANT · (Male)

NPI Number 1235830290
Status Active
Credentials LMT, CA
Entity Individual
Enumeration date 03/15/2023
Last updated 03/15/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # MT-19611
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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