Individual
BRADLEY J SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
123 STATE ROUTE 3, SUNBURY, OH 43074-6900
(740) 965-4301
(740) 965-5182
Mailing address
123 STATE ROUTE 3, SUNBURY, OH 43074-6900
(740) 965-4301
(740) 965-5182
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.022908
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311019738
CHIROPRACTIC OFFICE
OH
Enumeration date
03/21/2024
Last updated
03/21/2024
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