Bradshaw, Theresa
Bradshaw, Theresa is an individual health care provider with primary practice located at 401 E Chestnut St Suite 510, Louisville KY 40202-5700. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation, which is considered as her primary health care specialty. Bradshaw, Theresa can be contacted via phone (502) 589-0802.Contact Information
Primary practice address
401 E Chestnut St Suite 510
Louisville KY 40202-5700
Phone: (502) 589-0802
Fax: (502) 589-0805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation | 225XN1300X | KY-R2889 | Kentucky |
Profile Details
| NPI number | 1043462377 |
|---|---|
| LBN Legal business name | Bradshaw, Theresa |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2008 |
| Last updated | Oct 17th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043462377 | NPPES |
| Kentucky | Other | KY-R2889 | LICENSE |
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