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Tyteana Braddy
NPI 1518824846 · on the registry since 2026 · sole proprietor
Practice
- Address
- 628 W Grand Ave
Springfield, OH 45506 - Phone
- (937) 591-0792
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Also registered as
- 374U00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio