Individual
MR. KEVIN LYLE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2429 MANATEE AVE E UNIT 3, BRADENTON, FL 34208-2407
(941) 544-0465
Mailing address
307 MENDEZ DR, SARASOTA, FL 34243-1514
(941) 544-0465
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59241
FL
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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