Individual
LEVITICUS BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
348 WARFIELD BLVD STE C&D, CLARKSVILLE, TN 37043-8904
(931) 906-4170
(931) 906-4173
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13351
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029723
—
TN
Enumeration date
01/22/2021
Last updated
01/22/2021
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