Powell, Brady
Powell, Brady is an sole proprietor health care provider with primary practice located at 2225 Civic Center Dr Ste 100 , North Las Vegas NV 89030-6328. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Powell, Brady can be contacted via phone (702) 586-5778.Contact Information
Primary practice address
2225 Civic Center Dr Ste 100
North Las Vegas NV 89030-6328
Phone: (702) 586-5778
Fax: (702) 586-5758
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1207843 | Texas |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 3099 | Nevada |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 3099 | Nevada |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3099 | Nevada |
Profile Details
NPI number | 1053712166 |
---|---|
LBN Legal business name | Powell, Brady |
Credentials | PT, DPT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 8th, 2014 |
Last updated | Aug 16th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053712166 | NPPES |
Nevada | MEDICAID | 1053712166 |
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