Individual
MR. BRADLEY MICHAEL FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
723 SAINT MARYS ST, RALEIGH, NC 27605-1424
(919) 856-7810
(919) 856-7822
Mailing address
723 SAINT MARYS ST, RALEIGH, NC 27605-1424
(919) 856-7810
(919) 856-7822
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT505
KY
Other
Enumeration date
03/30/2009
Last updated
02/09/2021
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