Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUE L BRADFORD, PT
DeactivatedPhysical Therapy Assistant · MEMPHIS, TN
This NPI has been deactivated.
The record was deactivated on November 4, 2014.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1851638340
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 3, 2013 (1.8356164383562 yrs)
- Last Updated
- Feb 18, 2016
- Deactivated
- Nov 4, 2014
- License
-
8431 (TN)
Practice Information
- Address
-
930 MADISON AVEMEMPHIS, TN, 381033410Browse TN providers · Browse ZIP 38103
- Phone
- 9014485888
- Fax
- 9014481411
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MEMPHIS, TN
| Name | Credential | NPI |
|---|---|---|
| MARK PAUL TEMME | P.T. | 1306849369 |
| MS. NADINE ROUX | — | 1558361576 |
| LAUREN H JAMES | PT | 1407827363 |
| MRS. CATHERINE COURTNEY | P.T. | 1194791970 |
| KEVIN COZORT | PT | 1659347250 |
| MARY C PETERSON | PT | 1346216678 |
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.