Individual
BRADFORD P DONNAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1423 MARTIN NASH RD SW, LILBURN, GA 30047-1944
(678) 458-7899
Mailing address
1423 MARTIN NASH RD SW, LILBURN, GA 30047-1944
(678) 458-7899
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA000091
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1752
NCBTMB CERTIFIED CONTINUING EDUCATION PROVIDER #
—
Enumeration date
09/23/2021
Last updated
09/23/2021
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