Individual
BRADLEY NELSON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
3605 MASSEY RIDGE CT, RALEIGH, NC 27616-9113
(919) 714-3918
Mailing address
3605 MASSEY RIDGE CT, RALEIGH, NC 27616-9113
(919) 714-3918
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5788
NC
Other
Enumeration date
09/18/2021
Last updated
09/18/2021
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