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MS. CAROL CORINNE BRADFORD LMP
NPI 1962534891
Massage Therapist in Moscow, ID

Active since March 09, 2007
106 E 3RD ST, SUITE 5A, MOSCOW, ID 83843(208) 883-5856(208) 289-5211 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Carol Corinne Bradford Lmp NPPES

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

MS. CAROL CORINNE BRADFORD LMP (NPI 1962534891) is an individual massage therapist in Moscow, Idaho, licensed in Idaho (034956-00) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1962534891
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMS. CAROL CORINNE BRADFORDCredential: LMP
Location Address106 E 3RD ST, SUITE 5AMoscow, ID 83843-2970
Mailing AddressPo Box 89Kendrick, ID 83537-0089 · (208) 883-5856 · Fax (208) 289-5211
Phone(208) 883-5856
Fax(208) 289-5211
Sole ProprietorYes
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962534891 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
Licenses✔ Licensed in ID · 034956-00✔ Licensed in WA · 024201MA00015161
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.

106 E 3RD ST, Moscow, ID 83843
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANDREA L MASOM LCPC
Counselor (Professional)
106 E 3RD ST, SUITE 2B
MOSCOW, ID 83843
Latah County (208) 882-1289
MS. DAYNA K. WILLBANKS OTR/L
Occupational Therapist
106 E 3RD ST
MOSCOW, ID 83843
Latah County (509) 432-1575
DR. BRIAN CLIFFORD HOPPER PSY.D.
Psychologist (Clinical)
106 E 3RD ST, 5B
MOSCOW, ID 83843
Latah County (208) 874-2461
MARCI MILLER
Doula
106 E 3RD ST, #3B
MOSCOW, ID 83843
Latah County (208) 503-6320

Frequently Asked Questions

What is Carol Bradford's NPI number?

The NPI number assigned to this healthcare provider is 1962534891, enumerated as an "individual" on March 09, 2007.

Where is the provider located?

The provider is located at 106 E 3RD ST SUITE 5A MOSCOW, ID 83843 and the phone number is (208) 883-5856.

What is the provider's specialty?

Massage Therapist with taxonomy code 225700000X.