Individual provider · Type 1 NPI
Kevin Lyle Bradley, LMT
Massage Therapist · Bradenton, FL
NPI number
1578867552
Active
Practice location
2429 Manatee Ave E Unit 3
Bradenton, FL 34208-2407
Mailing address
307 Mendez Dr
Sarasota, FL 34243-1514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA59241 (FL) |
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 1578867552
Kevin Lyle Bradley, LMT's National Provider Identifier is 1578867552, issued on Jan 5, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bradenton, FL. The record was last updated on Jan 5, 2011.