Individual
DR. TODD A. BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
204 E CHARLES ST, OELWEIN, IA 50662-1940
(319) 283-2002
(319) 283-2015
Mailing address
204 E CHARLES ST, OELWEIN, IA 50662-1940
(319) 283-2002
(319) 283-2015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02500
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811052350
WELLMARK BCBS
IA
05
—
1811052350
—
IA
01
—
P00709294
RR MEDICARE
IA
Enumeration date
12/02/2006
Last updated
07/09/2020
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