Individual
ELISE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CAMPUS DRIVE, MISSOULA, MT 59821
(406) 243-0211
Mailing address
32 CAMPUS DR, MISSOULA, MT 59812-0003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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