Individual
MENDI ANN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
164 JEFFERSON AVE, POCATELLO, ID 83201-3948
(208) 680-1504
Mailing address
3042 W 2000 S, ABERDEEN, ID 83210-1842
(208) 380-1504
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4943
ID
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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