Misty Tashina Bradley, LMT is a
Massage Therapist based in Kailua Kona, Hawaii. Misty Tashina Bradley is licensed to practice in Hawaii (license number MAT-15794) and her current practice location is
75-127 Lunapule Rd Ste 4b, Kailua Kona, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(808) 345-3863.
NPI number for Misty Tashina Bradley is 1962150664 and her current mailing address is 75-6104 Kipehi Pl, Kailua Kona, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962150664.
Healthcare Provider's Profile
Full Name | Misty Tashina Bradley |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 75-127 Lunapule Rd Ste 4b, Kailua Kona, Hawaii |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962150664
- Provider Enumeration Date: 03/13/2022
- Last Update Date: 04/26/2024
Medical Identifiers
Medical identifiers for Misty Tashina Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962150664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | PRE-LICENCED (Hawaii) | Secondary |
225700000X | Massage Therapist | MAT-15794 (Hawaii) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Misty Tashina Bradley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Misty Tashina Bradley, LMT 75-6104 Kipehi Pl, Kailua Kona, HI 96740-7959 Ph: () - | Misty Tashina Bradley, LMT 75-127 Lunapule Rd Ste 4b, Kailua Kona, HI 96740-2119 Ph: (808) 345-3863 |
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