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Individual

BRADY POWELL

Active
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Individual

BRADY POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

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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