Individual
BRADLEY BRENNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
705 EWALD AVE SE, SALEM, OR 97302-3403
(503) 378-0068
(503) 378-0068
Mailing address
705 EWALD AVE SE, SALEM, OR 97302-3403
(503) 378-0068
(503) 378-0068
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24471
OR
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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