Bradley Smith Innovative Physical Therapy

NPI #1326361098 in Kelseyville, California

Provider Information

NPI Number: 1326361098
Entity Type: Organization
Organization Name: Bradley Smith Innovative Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Mar 9, 2010
Last Updated: Mar 9, 2010

Practice Location

Address: 5289 STATE ST.
City: Kelseyville
State: California
ZIP Code: 95451-9449
Phone: (707) 533-3170

Authorized Official

Name: MR. BRADLEY J SMITH, P.T.
Title: OWNER
Phone: (707) 533-3170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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