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NPI Code Detail

MEDICARE: MR. BRANDON LYNN ROMEO

MEDICARE: MR. BRANDON LYNN ROMEO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistNVMT.12304NV

General Provider Information

NPI Number : 1235069808
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRANDON LYNN ROMEO
Provider Business Mailing Address
First Line : 9625 W RUSSELL RD APT 2043
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4547
Country : US
Telephone Number : 702-683-9135
Fax Number :
Provider Business Practice Location Address
First Line : 9625 W RUSSELL RD APT 2043
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4547
Country : US
Telephone Number : 702-683-9135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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Directions to “ MR. BRANDON LYNN ROMEO ” Practice Location

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