Individual
JASON ZACHARY BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7744 NORTHCROSS DR APT N225, AUSTIN, TX 78757-1734
(337) 302-5499
Mailing address
7744 NORTHCROSS DR APT N225, AUSTIN, TX 78757-1734
(337) 302-5499
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT134215
TX
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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