Individual
DR. BRADLEY JOSEPH LINEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1123 E STUART DR, GALAX, VA 24333-2513
(276) 266-3149
(276) 266-3150
Mailing address
1123 E STUART DR, GALAX, VA 24333-2513
(276) 266-3149
(276) 266-3150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204504
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001834986
MT. ST. BC/BS
WV
05
—
3810005039
—
WV
01
—
425678
CARELINK
WV
Enumeration date
10/11/2006
Last updated
01/14/2022
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