Individual
MR. BRADLEY DAVID BANGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1423 7TH ST, AURORA, NE 68818-1141
(402) 694-8254
Mailing address
1423 7TH ST, AURORA, NE 68818-1141
(402) 694-8254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
58715342401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P6311
—
UT
Enumeration date
11/02/2006
Last updated
08/30/2012
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