Bradley, Katherine
Bradley, Katherine is an individual health care provider with primary practice located at 772 Wall St Ste B , O Fallon IL 62269-1959. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bradley, Katherine can be contacted via phone (618) 624-2400.Contact Information
Primary practice address
772 Wall St Ste B
O Fallon IL 62269-1959
Phone: (618) 624-2400
Fax: (618) 624-2407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 096004885 | Illinois |
Profile Details
| NPI number | 1073104881 |
|---|---|
| LBN Legal business name | Bradley, Katherine |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2021 |
| Last updated | Feb 3rd, 2021 - 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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