Bradley, Kirk Thomas

Bradley, Kirk Thomas is an sole proprietor health care provider with primary practice located at 2105 W March Ln Ste 3 , Stockton CA 95207-6407. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Bradley, Kirk Thomas can be contacted via phone (209) 951-3265.

Contact Information

Primary practice address
2105 W March Ln Ste 3 Stockton CA 95207-6407
Phone: (209) 951-3265
Fax: (209) 351-3285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 23700 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics 2251E1200X PT 23700 California

Profile Details

NPI number 1205926938
LBN Legal business name Bradley, Kirk Thomas
Credentials PT,DPT, M.S., ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205926938 NPPES
California MEDICAID PT0237000

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