Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT BRADLEY, PT
Active Sole ProprietorBRENT BRADLEY, PT is a Physical Therapy Assistant healthcare provider located in SUNRIVER, Oregon. NPI 1811970221 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SUNRIVER, OR
Registration Details
- NPI Number
- 1811970221
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2005 (20.545371096875 yrs)
- Last Updated
- Oct 18, 2007
- License
-
4661 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18135 COTTONWOODSUNRIVER, OR, 977079317Browse OR providers · Browse ZIP 97707
- Phone
- 5413907518
- Fax
- 5413896272
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SUNRIVER, OR
| Name | Credential | NPI |
|---|---|---|
| ERIC D WALBERG | PT | 1780668186 |
| GAIL DEANN SMITH | PT | 1891769790 |
| LIVIA M VANLOO | MSPT | 1508882515 |
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.