Individual
TYTEANA BRADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
628 W GRAND AVE, SPRINGFIELD, OH 45506-2022
(937) 591-0792
Mailing address
628 W GRAND AVE, SPRINGFIELD, OH 45506-2022
(937) 591-0792
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
602736881123
—
376K00000X
Nurse's Aide
Primary
602736881123
OH
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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