Individual
DR. KIRK THOMAS BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT, M.S., ATC
Contact information
Practice address
2105 W MARCH LN STE 3, STOCKTON, CA 95207-6407
(209) 951-3265
(209) 351-3285
Mailing address
13976 E SPARROW HAWK DR, LOCKEFORD, CA 95237-9545
(209) 727-5594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 23700
CA
2251E1200X
Ergonomics Physical Therapist
Primary
PT 23700
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT0237000
—
CA
Enumeration date
10/13/2006
Last updated
09/11/2025
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