Provider Demographics
NPI:1740655703
Name:PARRY, BRET (LMT)
Entity type:Individual
Prefix:
First Name:BRET
Middle Name:
Last Name:PARRY
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 S GREENFIELD RD
Mailing Address - Street 2:UNIT 1086
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3563
Mailing Address - Country:US
Mailing Address - Phone:480-250-6680
Mailing Address - Fax:
Practice Address - Street 1:3220 S GILBERT RD
Practice Address - Street 2:SUITE 4
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-5109
Practice Address - Country:US
Practice Address - Phone:480-250-6680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-02
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist