Most Relevant Information
Provider Data
| NPI Number: | 1003053588 |
| Provider Name: | BRANDY LYNN CREDEUR LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 034422 |
Most Important Dates
| Enumeration Date: | 01/20/2009 |
| Last Updated: | 11/27/2017 |
Provider Practice Location
13740 RESEARCH BLVD. BLDG B, SUITE 3
AUSTIN
TX
787501885
Practice Location Phone/Fax
| Phone: | 5128262115 |
| Fax: | 5128262115 |
Provider Mailing Location
13740 RESEARCH BLVD. BLDG B, SUITE 3
AUSTIN
TX
787501884
Provider Mailing Phone/Fax
| Phone: | 5128262115 |
| Fax: |