Individual
TREVOR BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBR
Contact information
Practice address
4785 PRINCE CHARLES WAY, HILLIARD, OH 43026-9283
(704) 928-6496
Mailing address
4785 PRINCE CHARLES WAY, HILLIARD, OH 43026-9283
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.019215
OH
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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