Individual
BRADLEY J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1503 WASHINGTON LN, AUGUSTA, KS 67010-1638
(316) 775-0700
(316) 775-0730
Mailing address
1503 WASHINGTON LN, AUGUSTA, KS 67010-1638
(316) 775-0700
(316) 775-0730
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03306
KS
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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