Individual
MR. BRADLEY PHILLIP HARDESTY
Active
Individual
MR. BRADLEY PHILLIP HARDESTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1141208
TX
225100000X
Physical Therapist
1175
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4996113
BLUE CROSS BLUE SHIELD
SD
05
—
5834140
—
SD
Enumeration date
06/30/2006
Last updated
09/11/2025
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