Individual
BRAD MENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC/L, CSCS
Contact information
Practice address
905 29TH AVE, 140, MARION, IA 52302-1108
(319) 200-2066
Mailing address
905 29TH AVE, 140, MARION, IA 52302-1108
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
078066
IA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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