Individual
BRADLEY WILLIAM GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1024 N ELM ST, HENDERSON, KY 42420-2713
(270) 724-9120
Mailing address
1024 N ELM ST, HENDERSON, KY 42420-2713
(270) 724-9120
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06002965A
IN
225200000X
Physical Therapy Assistant
Primary
A02491
KY
Other
Enumeration date
01/02/2010
Last updated
01/02/2010
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