Individual provider · Type 1 NPI

Brad David Kegebein

Massage Therapist · Lake Orion, MI

NPI number 1629740352 Active

Practice location

242 Park Green Dr
Lake Orion, MI 48362-3375

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501010102 (MI)

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 1629740352

Brad David Kegebein's National Provider Identifier is 1629740352, issued on Sep 30, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Orion, MI. The record was last updated on Sep 30, 2021.