Howerton-Bradley, Madonna Nacole

Howerton-Bradley, Madonna Nacole is an individual health care provider with primary practice located at 176W University Pkwy C , Jackson TN 38305-1618. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Howerton-Bradley, Madonna Nacole can be contacted via phone (731) 660-6915.

Contact Information

Primary practice address
176W University Pkwy C Jackson TN 38305-1618
Phone: (731) 660-6915
Fax: (731) 668-4557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7453 Tennessee

Profile Details

NPI number 1437213147
LBN Legal business name Howerton-Bradley, Madonna Nacole
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Sep 24th, 2015 - about 10 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 1437213147 NPPES
Tennessee MEDICAID Q000202

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