Healthcare Provider Details

I. General information

NPI: 1932003597
Provider Name (Legal Business Name): NATALIE BRANDT LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22790 BUCHANAN ST
MOUNT VERNON WA
98273-8023
US

IV. Provider business mailing address

22790 BUCHANAN ST
MOUNT VERNON WA
98273-8023
US

V. Phone/Fax

Practice location:
  • Phone: 360-856-5562
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: