Brad Lee Profitt, PT, DPT, CSCS, DC,

NPI #1518055714 in Russell, Kentucky

Provider Information

NPI Number: 1518055714
Entity Type: Individual
Name: Brad Lee Profitt, PT, DPT, CSCS, DC,
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, CSCS, DC,
Enumeration Date: Oct 11, 2006
Last Updated: Apr 11, 2023

Practice Location

Address: 1451 DIEDERICH BLVD
City: Russell
State: Kentucky
ZIP Code: 41169-1718
Phone: (606) 388-2173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Physical Therapist	225100000X	Primary

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