Individual
REBECCA BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
515 7TH AVE STE 230, FAIRBANKS, AK 99701-4949
(907) 456-4234
(907) 451-9168
Mailing address
515 7TH AVE STE 230, FAIRBANKS, AK 99701-4949
(907) 456-4234
(907) 451-9168
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101542
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437273125
NPI
—
Enumeration date
01/10/2020
Last updated
01/10/2020
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