MR. BRAD DAVID KEGEBEIN
NPI 1629740352
Massage Therapist in Lake Orion, MI
- Individual
- Male
- Massage Therapist
About BRAD KEGEBEIN
This page provides the complete NPI Profile along with additional information for Brad Kegebein, a provider established in Lake Orion, Michigan with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1629740352 assigned on September 2021. The practitioner's primary taxonomy code is 225700000X with license number 7501010102 (MI). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1629740352 Verify this NPI
- Provider Name
- MR. BRAD DAVID KEGEBEIN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 242 PARK GREEN DR LAKE ORION, MI 48362
- Location Phone
- (248) 417-8919
- Mailing Address
- 242 PARK GREEN DR LAKE ORION, MI 48362
- Mailing Phone
- (248) 417-8919
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-30-2021
- Last Update Date
- 09-30-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 7501010102
- License State
- MI
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629740352, enumerated as an "individual" on September 30, 2021.
The provider is located at 242 PARK GREEN DR LAKE ORION, MI 48362 and the phone number is (248) 417-8919.
Massage Therapist with taxonomy code 225700000X.
