Bradley Scott Brown, MT

NPI #1174175558 in Hayden, Idaho

Provider Information

NPI Number: 1174175558
Entity Type: Individual
Name: Bradley Scott Brown, MT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: Jul 15, 2019
Last Updated: Jul 15, 2019

Practice Location

Address: 8109 N WAYNE BLVD
City: Hayden
State: Idaho
ZIP Code: 83835-5031
Phone: (208) 667-7463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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