MR. BRAD MITCHELL SECREST L.M.P. NPI 1316922610

NPI Information

NPI: 1316922610
Provider Name: MR. BRAD MITCHELL SECREST, L.M.P.
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
9720 N NEVADA ST
SPOKANE, WA
ZIP 99218
Phone: (509) 464-2273
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MR. Brad Mitchell Secrest, L.M.P. is a massage therapist in Spokane, WA. The provider is 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. MR. Brad Mitchell Secrest, L.M.P. NPI is 1316922610. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9720 N NEVADA ST
SPOKANE, WA
ZIP 99218-412
Phone: (509) 464-2273
Fax: (509) 242-1854

The enumeration date for this NPI number is 12/8/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA00016543	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MA00016543	OTHER	WASHINGTON	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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