Individual
TIARA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2605 PACES RDG APT A, ATLANTA, GA 30339-4037
(678) 471-2183
Mailing address
2305 HERITAGE GREEN TRL, MARIETTA, GA 30064-5054
(678) 471-2183
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011663
GA
Other
Enumeration date
09/04/2020
Last updated
12/23/2023
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