BRANDON TYLER AHLSTEDT LMT - NPI 1588415897 - Massage Therapist in Ocean Springs, MS

Q: What is Brandon Ahlstedt's NPI number?

The NPI number for Brandon Ahlstedt is 1588415897. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Q: What is Brandon Ahlstedt's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Ahlstedt was last updated on March 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Brandon Tyler Ahlstedt Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON TYLER AHLSTEDT LMT (NPI 1588415897) is an individual massage therapist in Ocean Springs, Mississippi, licensed in Mississippi (2798) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1588415897

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameBRANDON TYLER AHLSTEDTCredential: LMT

Location Address6819 WASHINGTON AVE STE FOcean Springs, MS 39564-2181

Mailing Address2117 Boardman BlvdGulfport, MS 39507 · (307) 259-3563

Phone(228) 697-8860

Sole ProprietorNo

Enumeration DateMarch 27, 2024

NPPES CertifiedMarch 27, 2024

✔ NPI 1588415897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in MS · 2798

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

6819 WASHINGTON AVE STE F, Ocean Springs, MS 39564

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