person
Bradford P Donnaud, LMT
Massage Therapist in Lilburn, Georgia
NPI 1740951433

Bradford P Donnaud is a Massage Therapist based in Lilburn, GA. Bradford P Donnaud practices in Lilburn, GA and has the professional credentials of LMT. The NPI Number for Bradford P Donnaud is 1740951433 and holds a License No. MA000091 (Georgia).

The current practice location address for Bradford P Donnaud is 1423 Martin Nash Rd Sw, Lilburn, GA and can be reached out via phone at 678-458-7899.

Location: 1423 Martin Nash Rd Sw, Lilburn, GA, 30047-1944
person
Provider Profile Details
NPI Number
1740951433
Provider Name
Bradford P Donnaud
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
1423 Martin Nash Rd Sw, Lilburn, GA, 30047-1944
Phone Number
678-458-7899
Fax Number
Provider Enumeration Date
09/23/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1752 01 NCBTMB CERTIFIED CONTINUING EDUCATION PROVIDER #
institution
Provider Business Practice Location Address Details
Address
1423 Martin Nash Rd Sw
City
State
Zip
30047-1944
Phone Number
678-458-7899
Fax Number
person
Provider Business Mailing Address Details
Address
1423 Martin Nash Rd Sw
City
State
Zip
30047-1944
Phone Number
678-458-7899
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA000091 (Georgia)
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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