DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADEN WAYNE PEWITT, LMP

Active Sole Proprietor

BRADEN WAYNE PEWITT, LMP is a Massage Therapist healthcare provider located in COLLEGE PLACE, Washington. NPI 1326385337 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · COLLEGE PLACE, WA

Registration Details

NPI Number
1326385337
Provider Type
Individual
Gender
Male
NPI Issued
Jan 10, 2013 (13.587982374538 yrs)
Last Updated
Dec 20, 2013
License
MA60305071 (WA)
Sole Proprietor
Yes

Practice Information

Address
718 S COLLEGE AVE
COLLEGE PLACE, WA, 993241519
Browse WA providers · Browse ZIP 99324
Phone
5092404913
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in COLLEGE PLACE, WA

Name Credential NPI
CINDY S DAVIS LMP 1275793721
MARY LYNN GRIZZELL LMP 1750606794
MRS. AMBER J LOPEZ RN, LMP 1356629406
MR. ANDREW RICHARD GATELY I LMT 1124376264
JOHANNA PEWITT 1669850996
DANELLE MCGILL 1518312867
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.