MS. CAROL CORINNE BRADFORD LMP
NPI 1962534891
Massage Therapist in Moscow, ID
- Individual
- Female
- Massage Therapist
About CAROL BRADFORD
This page provides the complete NPI Profile along with additional information for Carol Bradford, a provider established in Moscow, Idaho with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1962534891 assigned on March 2007. The practitioner's primary taxonomy code is 225700000X with license number 034956-00 (ID). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1962534891 Verify this NPI
- Provider Name
- MS. CAROL CORINNE BRADFORD LMP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 106 E 3RD ST SUITE 5A MOSCOW, ID 83843
- Location Phone
- (208) 883-5856
- Location Fax
- (208) 289-5211
- Mailing Address
- PO BOX 89 KENDRICK, ID 83537
- Mailing Phone
- (208) 883-5856
- Mailing Fax
- (208) 289-5211
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-09-2007
- Last Update Date
- 07-08-2007
- 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.
- 034956-00
- License State
- ID
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | 024201MA00015161 (WA) |
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962534891, enumerated as an "individual" on March 09, 2007.
The provider is located at 106 E 3RD ST SUITE 5A MOSCOW, ID 83843 and the phone number is (208) 883-5856.
Massage Therapist with taxonomy code 225700000X.
