Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY JAMES SMITH, PT
Active Sole ProprietorBRADLEY JAMES SMITH, PT is a Physical Therapy Assistant healthcare provider located in KELSEYVILLE, California. NPI 1407812019 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · KELSEYVILLE, CA
Registration Details
- NPI Number
- 1407812019
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 22, 2006 (20.132202589447 yrs)
- Last Updated
- May 25, 2010
- License
-
PT22821 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5289 STATE STKELSEYVILLE, CA, 95451Browse CA providers · Browse ZIP 95451
- Phone
- 7072790881
- Fax
- 7072790887
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.