Williams, Bradley C

Williams, Bradley C is an individual health care provider with primary practice located at 491 Caswell Ave W , Twin Falls ID 83301-3743. 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. Williams, Bradley C can be contacted via phone (208) 736-0887.

Contact Information

Primary practice address
491 Caswell Ave W Twin Falls ID 83301-3743
Phone: (208) 736-0887
Fax: (208) 736-0890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-1026 Idaho

Profile Details

NPI number 1841255015
LBN Legal business name Williams, Bradley C
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 5th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841255015 NPPES
Idaho Other BLUE CROSS T4702

Popular Providers