Individual
BRADLEY AUSTIN TIPPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
413 W BETHEL RD STE 400, COPPELL, TX 75019-4477
(972) 304-9100
(972) 304-9048
Mailing address
PO BOX 2650, COPPELL, TX 75019-8607
(972) 724-2400
(972) 724-2495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1333813
TX
Other
Enumeration date
07/10/2020
Last updated
08/06/2020
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