Provider Demographics
NPI:1336756923
Name:WATKINS, BRITTANY DANIELLE (LMT)
Entity Type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:DANIELLE
Last Name:WATKINS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 KIRKPATRICK ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4894
Mailing Address - Country:US
Mailing Address - Phone:412-291-0575
Mailing Address - Fax:
Practice Address - Street 1:410 KIRKPATRICK ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-4894
Practice Address - Country:US
Practice Address - Phone:412-291-0575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG007832225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist