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BRAD LEE PROFITT, PT, DPT, CSCS, DC

Active

BRAD LEE PROFITT, PT, DPT, CSCS, DC is a Physical Therapy Assistant healthcare provider located in RUSSELL, Kentucky. NPI 1518055714 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · RUSSELL, KY

Registration Details

NPI Number
1518055714
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2006 (19.698089271516 yrs)
Last Updated
Apr 11, 2023
Licenses
250594 (KY)
005907 (KY)

Practice Information

Address
1451 DIEDERICH BLVD
RUSSELL, KY, 411691718
Browse KY providers · Browse ZIP 41169
Phone
6063882173
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in RUSSELL, KY

Name Credential NPI
DR. NEIL ALAN EVANS DPT, PHD., OCS, CSCS 1356400592
JEREMY STEPHENSON 1215470125
ANITA FRAZIER-BROOKS P.T. 1336672997
NICHOLAS DELLAFLORA 1700568854
JASMINE SMITH 1356134548
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.