Individual
BRADLEY CHASE BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NMT
Contact information
Practice address
1819 HENDRICKS AVE, SUITES 2, 3, JACKSONVILLE, FL 32207-3303
(904) 348-5511
Mailing address
1819 HENDRICKS AVE, SUITES 2, 3, JACKSONVILLE, FL 32207-3303
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50131
FL
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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