DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. CAROL CORINNE BRADFORD, LMP

Active Sole Proprietor

MS. CAROL CORINNE BRADFORD, LMP is a Massage Therapist healthcare provider located in MOSCOW, Idaho. NPI 1962534891 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · MOSCOW, ID

Registration Details

NPI Number
1962534891
Provider Type
Individual
Gender
Female
NPI Issued
Mar 9, 2007 (19.24678330794 yrs)
Last Updated
Jul 8, 2007
Licenses
024201MA00015161 (WA)
034956-00 (ID)
Sole Proprietor
Yes

Practice Information

Address
106 E 3RD ST
SUITE 5A
MOSCOW, ID, 838432970
Browse ID providers · Browse ZIP 83843
Phone
2088835856
Fax
2082895211
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in MOSCOW, ID

Name Credential NPI
MISS AMANDA K BLANKENSHIP LMP, NCTMB 1013120435
MS. ERICA ANNE SWANGER LMP 1962618728
MRS. CHONLADA ANANTACHOTE 1740441153
MS. TARA KOFFLER HOWE LMP 1285880286
MRS. CANDACE LOUISE MAGNUSON LMT 1124275938
MS. REBECCA MARIE GOODRICH LMP, NCTMB 1164757613
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.