Individual provider · Type 1 NPI

Bradley Lemond Wilson, LMT, COTA/L

Massage Therapist · Carmel, IN

NPI number 1134443005 Active

Practice location

10293 N Meridian St Ste 125
Carmel, IN 46290-1123

Call (317) 316-7128 Map

Mailing address

28415 N Duck Creek Ave
Atlanta, IN 46031-9747

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000XNone listed
Massage Therapist Primary 225700000XMT2207871 (IN)

Massage Therapist: 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.

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About NPI 1134443005

Bradley Lemond Wilson, LMT, COTA/L's National Provider Identifier is 1134443005, issued on Mar 22, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Carmel, IN. The record was last updated on Apr 5, 2023.