Individual
BRAD THOMAS BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CEP
Contact information
Practice address
1300 E MARSHALL ST, RICHMOND, VA 23298-5028
(804) 828-8184
(804) 827-1520
Mailing address
PO BOX 980335, RICHMOND, VA 23298-0335
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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