Provider Demographics
NPI:1396072229
Name:RANTE, BRIANNA JANELLE (LMT)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:JANELLE
Last Name:RANTE
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 1:2690 EASTON ST NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44721-2623
Mailing Address - Country:US
Mailing Address - Phone:330-491-0381
Mailing Address - Fax:330-491-0388
Practice Address - Street 1:2690 EASTON ST NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44721-2623
Practice Address - Country:US
Practice Address - Phone:330-491-0381
Practice Address - Fax:330-491-0388
Is Sole Proprietor?:No
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33017648225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist