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Individual
BRADEE ANN AXMAKER
Active
Individual
BRADEE ANN AXMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070027459
IL
225100000X
Physical Therapist
2023-0016
NM
225100000X
Physical Therapist
2270
WY
225100000X
Physical Therapist
Primary
2608
SD
225100000X
Physical Therapist
2722
AK
225100000X
Physical Therapist
304118
CA
225100000X
Physical Therapist
8597
ID
2251P0200X
Pediatric Physical Therapist
2722
AK
Other
Enumeration date
05/05/2016
Last updated
06/15/2023
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