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
Fax: (702) 586-5758
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053712166 NPPES
Nevada MEDICAID 1053712166

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