Bradley, Logan

Bradley, Logan is an individual health care provider with primary practice located at 3100 S Woodruff Ave , Idaho Falls ID 83404-8310. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bradley, Logan can be contacted via phone (208) 523-8879.

Contact Information

Primary practice address
3100 S Woodruff Ave Idaho Falls ID 83404-8310
Phone: (208) 523-8879
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1336661321
LBN Legal business name Bradley, Logan
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2017
Last updated May 13th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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