Individual
RAESHELL BROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1523 RUNAWAY BAY DR APT 2C, COLUMBUS, OH 43204-4810
(614) 843-4917
Mailing address
1523 RUNAWAY BAY DR APT 2C, COLUMBUS, OH 43204-4810
(614) 843-4917
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33-024982
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-024982
STATE MEDICAL BOARD
OH
Enumeration date
09/26/2020
Last updated
02/29/2024
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