Individual
BRADLEY JOHN HOLSAPPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT# LA2610
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
1604 GENTILLY DR, SHREVEPORT, LA 71105-5704
(318) 422-2400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2610
LA
Other
Enumeration date
09/20/2024
Last updated
02/11/2025
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