NPI 1164677274

Brad a Specht, MT

Practitioner Massage Therapist Kaukauna, WI

Practice location

Address: 500 Lawe St, Kaukauna, WI 54130-2022
Phone: (920) 766-3741
Fax: (920) 766-4217

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 3026-046 (WI)

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Registry record

NPI: 1164677274
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Nov 2008
Record last updated: 18 Nov 2008

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.