DENAE BRADBURN - NPI 1366834079 - Massage Therapist in Lacey, WA

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Denae Bradburn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENAE BRADBURN (NPI 1366834079) is an individual massage therapist in Lacey, Washington, licensed in Washington (MA00022858) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1366834079

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameDENAE BRADBURN

Location Address4804 LACEY BLVD SELacey, WA 98503-5733

Mailing Address4804 Lacey Blvd SeLacey, WA 98503-5733 · (360) 561-0171 · Fax (360) 915-7857

Phone(360) 561-0171

Fax(360) 915-7857

Sole ProprietorNo

Enumeration DateMarch 4, 2015

✔ NPI 1366834079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in WA · MA00022858

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

4804 LACEY BLVD SE, Lacey, WA 98503

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