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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADFORD J BROUILLETTE, PT

Active

BRADFORD J BROUILLETTE, PT is a Physical Therapy Assistant healthcare provider located in WALLA WALLA, Washington. NPI 1861589350 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WALLA WALLA, WA

Registration Details

NPI Number
1861589350
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2006 (19.835080060135 yrs)
Last Updated
Jan 11, 2017
License
PT00008159 (WA)

Practice Information

Address
410 W POPLAR ST.
REHABILITATION SERVICES
WALLA WALLA, WA, 99362
Browse WA providers · Browse ZIP 99362
Phone
5098973320
Fax
5098975752
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in WALLA WALLA, WA

Name Credential NPI
MICHAEL J CLARK PT 1306849955
DAVID LLOYD TUPPER P.T. 1932109626
MR. ROGER JAY RUSSELL PT 1871576439
GEORGE A ARIAS M.S.P.T. 1407820103
MICHAEL D GREGG M.S.P.T. 1205800901
RACHELLE L HARTMAN P.T. 1245280494
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.