Most Relevant Information
Provider Data
| NPI Number: | 1003421686 |
| Provider Name: | RICK BRYCE TYSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 67507 |
Most Important Dates
| Enumeration Date: | 09/10/2020 |
| Last Updated: | 09/10/2020 |
Provider Practice Location
920 YORK ST APT A
VALLEJO
CA
945906270
Practice Location Phone/Fax
| Phone: | 5596760478 |
| Fax: |
Provider Mailing Location
920 YORK ST APT A
VALLEJO
CA
945906270
Provider Mailing Phone/Fax
| Phone: | 5596760478 |
| Fax: |