Profitt, Brad Lee

Profitt, Brad Lee is an individual health care provider with primary practice located at 1451 Diederich Blvd , Russell KY 41169-1718. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Profitt, Brad Lee can be contacted via phone (606) 388-2173.

Contact Information

Primary practice address
1451 Diederich Blvd Russell KY 41169-1718
Phone: (606) 388-2173
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 250594 Kentucky
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 005907 Kentucky

Profile Details

NPI number 1518055714
LBN Legal business name Profitt, Brad Lee
Credentials PT, DPT, CSCS, DC,
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Apr 11th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518055714 NPPES
Other 7562230 AETNA
Other 000000216813 AETNA
Other 4402131 AETNA
Other 350054419 AETNA
MEDICAID 85001504 AETNA

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