NPI 1134443005

Bradley Lemond Wilson, LMTCOTAL

Practitioner Massage Therapist Carmel, IN

Practice location

Address: 10293 N Meridian St STE 125, Carmel, IN 46290-1123
Phone: (317) 316-7128
Mailing address: 28415 N Duck Creek Ave, Atlanta, IN 46031-9747

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT2207871 (IN)

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Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

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Registry record

NPI: 1134443005
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2010
Record last updated: 5 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.