Wellformed AI

NPI 1669970794 · live from the CMS NPI Registry

Ronald E Brister, LMT

Massage Therapist in Metairie, LA. National Provider Identifier 1669970794, active.

NPI record

NPI1669970794 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location826 Focis St, Metairie, LA 70005
Practice phone504-456-8560
EnumeratedJanuary 23, 2018
Last updatedJanuary 23, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X2931 (LA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.