Individual
DR. BRADLY DOUGLAS RADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5850 POLARIS AVE STE 100, LAS VEGAS, NV 89118-3185
(702) 739-9957
Mailing address
785 MILL SHADOW DR, KAYSVILLE, UT 84037-4171
(801) 549-8724
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2810
NV
225100000X
Physical Therapist
8510286-2401
UT
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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