Secrest, Brad Mitchell

Secrest, Brad Mitchell is an individual health care provider with primary practice located at 9720 N Nevada St , Spokane WA 99218-3412. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Secrest, Brad Mitchell can be contacted via phone (509) 464-2273.

Contact Information

Primary practice address
9720 N Nevada St Spokane WA 99218-3412
Phone: (509) 464-2273
Fax: (509) 242-1854
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00016543 Washington

Profile Details

NPI number 1316922610
LBN Legal business name Secrest, Brad Mitchell
Credentials L.M.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316922610 NPPES
Washington Other MA00016543 STATE LICENSE

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