Individual
BRADY MICHELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3591 S MERCY RD STE 204, GILBERT, AZ 85297-2240
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31733
AZ
Other
Enumeration date
05/06/2021
Last updated
09/13/2022
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