Individual provider · Type 1 NPI
Bradley James Giczkowski, LMT
Massage Therapist · Fayetteville, AR
NPI number
1649781014
Active
Practice location
275 E Huntsville Rd
Fayetteville, AR 72701-6134
Mailing address
625 N Storer Ave
Fayetteville, AR 72701-3200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 8181 (AR) |
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 1649781014
Bradley James Giczkowski, LMT's National Provider Identifier is 1649781014, issued on Oct 12, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fayetteville, AR. The record was last updated on Oct 12, 2017.