Individual
JENNA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
419 W 9TH ST, LIBBY, MT 59923-1766
(406) 293-8942
Mailing address
25 HERITAGE WAY, KALISPELL, MT 59901-3100
(406) 407-7990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60968112
—
Other
Enumeration date
08/12/2019
Last updated
08/25/2022
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