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

JILL KRISTEN BRADFORD, MSED, ATC, LAT

Active Sole Proprietor

JILL KRISTEN BRADFORD, MSED, ATC, LAT is a Athletic Trainer healthcare provider located in PORT ST LUCIE, Florida. NPI 1871605501 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PORT ST LUCIE, FL

Registration Details

NPI Number
1871605501
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2006 (19.948440548366 yrs)
Last Updated
Jul 8, 2007
License
AL1271 (FL)
Sole Proprietor
Yes

Practice Information

Address
1800 SE TIFFANY AVE
PORT ST LUCIE, FL, 349527521
Browse FL providers · Browse ZIP 34952
Phone
7723354000
Fax
7723983700
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in PORT ST LUCIE, FL

Name Credential NPI
MRS. CATHERINE ROSE HAMPE ATC 1629374798
NICHOLAS ROBERTS ATC 1699333435
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.