Individual
KEITHE BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1241 ORCHARD ORIOLE PL, MIDDLEBURG, FL 32068-8786
(904) 582-4233
Mailing address
1241 ORCHARD ORIOLE PL, MIDDLEBURG, FL 32068-8786
(904) 582-4233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA98823
FL
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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