Individual
DR. RAINE MICHELLE BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
800 HOSPITAL DR., PM&R - PT, COLUMBIA, MO 65201-5275
(573) 843-1855
Mailing address
800 HOSPITAL DR., PM&R - PT, COLUMBIA, MO 65201-5275
(573) 843-1855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04295
KS
225100000X
Physical Therapist
2776
NV
225100000X
Physical Therapist
T-02971
KS
Other
Enumeration date
06/15/2011
Last updated
10/06/2022
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