NPI age
19 years
Enumerated 2007-03-09
● Active
Type 1 · Individual
MS. Carol Corinne Bradford, LMP
Bradford is 1 of 42 massage therapist providers in Moscow and 1 of 798 in Idaho.
Primary specialty
Massage Therapist
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 798 active massage therapist providers in Idaho.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Practice location
106 E 3rd St, Suite 5a
Moscow, ID 838432970
Mailing address
Po Box 89
Kendrick, ID 835370089
Specialties
-
Massage Therapist PrimaryAn 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.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new massage therapist provider has been added in Moscow in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.