Healthcare Provider Details

I. General information

NPI: 1780041145
Provider Name (Legal Business Name): ALAINA PATRICE NEAL LMT, CLT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALAINA PATRICE BOCKBRADER LMT, CLT

II. Dates (important events)

Enumeration Date: 01/15/2016
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6753 LONGSHORE ST
DUBLIN OH
43017-2671
US

IV. Provider business mailing address

6753 LONGSHORE ST
DUBLIN OH
43017-2671
US

V. Phone/Fax

Practice location:
  • Phone: 614-246-6900
  • Fax:
Mailing address:
  • Phone: 614-246-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.020691
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: