Individual
BRADY POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2225 CIVIC CENTER DR STE 100, NORTH LAS VEGAS, NV 89030-6328
(702) 586-5778
(702) 586-5758
Mailing address
2225 CIVIC CENTER DR STE 100, NORTH LAS VEGAS, NV 89030-6328
(702) 586-5778
(702) 586-5758
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1207843
TX
225100000X
Physical Therapist
Primary
3099
NV
2251S0007X
Sports Physical Therapist
3099
NV
2251X0800X
Orthopedic Physical Therapist
3099
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053712166
—
NV
Enumeration date
09/08/2014
Last updated
08/16/2022
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