Individual
MR. MATTHEW BRADLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2300 MACCORKLE AVE SE, CHARLESTON, WV 25304-1045
(304) 357-4983
(304) 357-4989
Mailing address
2300 MACCORKLE AVE SE, CHARLESTON, WV 25304-1045
(304) 357-4983
(304) 357-4989
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WV
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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