Individual
BRAD BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
739 PRESIDENT PL STE 200, SMYRNA, TN 37167-6846
(615) 355-5640
Mailing address
504 JOHNSTOWN DR, SMYRNA, TN 37167-8113
(615) 220-8956
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6219
LICENSE #
TN
Enumeration date
08/23/2006
Last updated
07/08/2007
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