Individual
BRADLY LOUIS EPPELHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4630 S LAKESHORE DR APT 182, TEMPE, AZ 85282-7174
(847) 977-3157
Mailing address
1001 E 17TH ST, ATHLETIC TRAINING ROOM, BLOOMINGTON, IN 47408-1590
(847) 977-3157
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002337A
IN
Other
Enumeration date
12/13/2013
Last updated
10/29/2014
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