Pearson, Bradley Dale

Pearson, Bradley Dale is an individual health care provider with primary practice located at 720 S Woodruff Ave , Idaho Falls ID 83401-5285. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pearson, Bradley Dale can be contacted via phone (208) 552-5025.

Contact Information

Primary practice address
720 S Woodruff Ave Idaho Falls ID 83401-5285
Phone: (208) 552-5025
Fax: (208) 552-5029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT-1125 Idaho

Profile Details

NPI number 1184950016
LBN Legal business name Pearson, Bradley Dale
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2009
Last updated Oct 28th, 2009 - about 16 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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