IndividualActive
Bradley Holsapple, LMT# LA2610
NPI 1922825140 · Massage Therapist · Shreveport, LA
Provider details
- NPI number
- 1922825140
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT# LA2610
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2610 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
510 E Stoner Ave
Shreveport, LA 71101-4243
Phone: (318) 221-8411
Approximate (ZIP-level) locationGet directions
Mailing address
1604 Gentilly Dr
Shreveport, LA 71105-5704
Registry dates
- Enumerated
- 2024-09-20
- Last updated
- 2025-02-11
- Certified
- 2025-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.