Katie Marie Bradshaw, PT

NPI #1114048378 in Fargo, North Dakota

Provider Information

NPI Number: 1114048378
Entity Type: Individual
Name: Katie Marie Bradshaw, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 3, 2007
Last Updated: Dec 20, 2016

Practice Location

Address: 4110 51ST AVE S
City: Fargo
State: North Dakota
ZIP Code: 58104-7776
Phone: (701) 364-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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