Individual
MR. JAY A. BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
901 W NEW YORK ST, INDIANAPOLIS, IN 46202-5224
(317) 274-0617
(317) 278-2041
Mailing address
5433 COTTON BAY DR W, INDIANAPOLIS, IN 46254-4525
(317) 299-6650
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000217A
IN
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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