Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIDNEY BRADDOCK, PHYSICAL THERAPIST
Active Sole ProprietorSIDNEY BRADDOCK, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in ODESSA, Texas. NPI 1144836891 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ODESSA, TX
Registration Details
- NPI Number
- 1144836891
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 18, 2020 (5.7258619705777 yrs)
- Last Updated
- Sep 21, 2020
- License
-
1105591 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2760 N GRANDVIEW AVE STE AODESSA, TX, 797626953Browse TX providers · Browse ZIP 79762
- Phone
- 4325527034
- Fax
- 4325527165
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ODESSA, TX
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER E BAKER | L.P.T., DIP. M.D.T. | 1194710962 |
| JARRETT LANGE | PT | 1174500805 |
| GENA LYNN RAMOS | PT,MPT | 1568471712 |
| MR. LARRY C FEELER | PT | 1992716971 |
| MR. WADE H SHELBY | PT | 1659382810 |
| MRS. DANEEN M MARSH | PT | 1588675748 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.