person
Bradley Scott Brown, MT
Massage Therapist in Hayden, Idaho
NPI 1174175558

Bradley Scott Brown is a Massage Therapist based in Hayden, ID. Bradley Scott Brown practices in Hayden, ID and has the professional credentials of MT. The NPI Number for Bradley Scott Brown is 1174175558 and holds a License No. MASG-2367 (Idaho).

The current practice location address for Bradley Scott Brown is 8109 N Wayne Blvd, Hayden, ID and can be reached out via phone at 208-667-7463 and via fax at 208-762-6385. You can also correspond with Bradley Scott Brown through the mailing address at 8109 N WAYNE BLVD, HAYDEN, ID - 83835-5031 (mailing address contact number: 208-667-7463).

Location: 8109 N Wayne Blvd, Hayden, ID, 83835-5031
person
Provider Profile Details
NPI Number
1174175558
Provider Name
Bradley Scott Brown
Credential
MT
Provider Entity Type
Individual
Gender
Male
Address
8109 N Wayne Blvd, Hayden, ID, 83835-5031
Phone Number
208-667-7463
Fax Number
208-762-6385
Provider Enumeration Date
07/15/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MASG-2367 01 ID MT LICENSE
institution
Provider Business Practice Location Address Details
Address
8109 N Wayne Blvd
City
State
Zip
83835-5031
Phone Number
208-667-7463
Fax Number
208-762-6385
person
Provider Business Mailing Address Details
Address
8109 N Wayne Blvd
City
State
Zip
83835-5031
Phone Number
208-667-7463
Fax Number
208-762-6385
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MASG-2367 (Idaho)
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.
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