Individual
JONATHAN DEE BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT,PT
Contact information
Practice address
243 CHENEY DR W, TWIN FALLS, ID 83301-4277
(208) 329-7667
(208) 329-7669
Mailing address
1411 FALLS AVE E STE 401, TWIN FALLS, ID 83301-3455
(208) 969-9945
(208) 944-0488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6465
ID
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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