IndividualActive
Bradley Wilson, LMT, COTA/L
NPI 1134443005 · Massage Therapist · Carmel, IN
Provider details
- NPI number
- 1134443005
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT, COTA/L
- Sex
- Male
- Sole proprietor
- Yes
Practice location
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
Registry dates
- Enumerated
- 2010-03-22
- Last updated
- 2023-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.