Individual
MR. CORY BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1600 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2455
(888) 515-1793
Mailing address
2219 E MCCARTY ST APT C, JEFFERSON CITY, MO 65101-4476
(573) 690-2146
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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