Individual
NITRICE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17320 LIVERNOIS AVE, DETROIT, MI 48221-2759
(248) 327-6129
(844) 579-0088
Mailing address
1065 PETERBORO ST, DETROIT, MI 48201-2386
(313) 768-7544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004887
MI
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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