Individual
BRADLEY ALEX LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
17134 BEL RAY PL, BELTON, MO 64012-5331
(816) 318-0434
(816) 318-0437
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
KS
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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