IndividualActive
Brandon Bromberg, LMT
NPI 1902319932 · Massage Therapist · Fairhope, AL
Provider details
- NPI number
- 1902319932
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4890 (AL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
901 Gayfer Ave Apt 1314
Fairhope, AL 36532-3906
Phone: (251) 895-4187
Approximate (ZIP-level) locationGet directions
Mailing address
901 Gayfer Ave Apt 1314
Fairhope, AL 36532-3906
Registry dates
- Enumerated
- 2017-11-13
- Last updated
- 2017-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.