Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Brad David Kegebein

Individual provider Massage Therapist · NPI 1629740352

Mr. Brad David Kegebein is a Massage Therapist in Lake Orion, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

242 Park Green Dr
Lake Orion, MI 48362-3375
Phone: (248) 417-8919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7501010102 (MI)

Record details

NPI number1629740352
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 30, 2021
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021

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