| Doctor Name: | JEREMY BRAVERMAN |
| NPI Number: | 1134504301 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMT, L.AC, M.AC |
| License Number: | M04891 |
| Business Practice Address: | 600 Edmondson Ave Suite 200 Catonsville, MD - 212283303 |
| Business Phone Number: | 7202014729 |
| Business Fax Number: | |
| Mailing Address: | 4301 Buchanan Ave, Apt. B BALTIMORE |
| State: | MD |
| Postal Code: | 212111216 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/29/2015 |
| NPI Last Update Date: | 07/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | M04891 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Massage Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |