# BRADLEY PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRADLEY CHIROPRACTIC & PHYSICAL THERAPY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821221391
- **Legal business name:** BRADLEY CHIROPRACTIC & PHYSICAL THERAPY
- **Authorized official:** MS. CHRISTINE MARIE BISGROVE (BUSINESS ADMINISTRATOR)
- **Authorized official phone:** (715) 845-3775

## Contact information

- **Practice address:** 2003 ROBIN LANE, WAUSAU, WI 54401-7158
- **Practice address phone:** (715) 845-3775
- **Practice address fax:** (715) 848-9015
- **Mailing address:** 2003 ROBIN LN, WAUSAU, WI 54401-7158
- **Mailing address phone:** (715) 845-3775
- **Mailing address fax:** (715) 848-9015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2469-024 | WI | Yes |

## Other

- **Enumeration date:** 08/31/2009
- **Last updated:** 04/22/2011
