Organization
BRADLEY CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALLORY K BRADLEY DC (OWNER)
(270) 705-3896
Entity
Organization
Contact information
Practice address
432 LAKE ST, FULTON, KY 42041-1531
(270) 705-3896
Mailing address
432 LAKE ST, FULTON, KY 42041-1531
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10894
FL
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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