Healthcare Provider Details

I. General information

NPI: 1932012556
Provider Name (Legal Business Name): GRACELYNN ELIZABETH BRADBURY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GRACE BRADBURY

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6625 SW WESTVIEW RD
TOPEKA KS
66619-1420
US

IV. Provider business mailing address

7232 SW AMBASSADOR PL
TOPEKA KS
66610-3000
US

V. Phone/Fax

Practice location:
  • Phone: 785-339-4700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6006
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: