# BRADLEY C HIRL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295919546
- **Authorized official:** BRADLEY C HIRL PT (OWNER)
- **Authorized official phone:** (563) 243-4301

## Contact information

- **Practice address:** 404 S 1ST ST, CLINTON, IA 52732-4122
- **Practice address phone:** (563) 243-4301
- **Practice address fax:** (563) 243-4302
- **Mailing address:** PO BOX 361, CLINTON, IA 52733-0361
- **Mailing address phone:** (563) 242-5316
- **Mailing address fax:** (563) 242-3128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 01856 | IA | Yes |

## Other

- **Enumeration date:** 12/21/2007
- **Last updated:** 11/09/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 39017 | BC/BS | IA |
| 01 | — | DE2995 | RAILROAD MEDICARE | IA |