Healthcare Provider Details

I. General information

NPI: 1104742949
Provider Name (Legal Business Name): BRADLEY ALLAN HUTCHINSON DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 CHAMBERLIN AVE
FRANKFORT KY
40601-4220
US

IV. Provider business mailing address

187 CHARDONNAY CT
WINCHESTER KY
40391-9247
US

V. Phone/Fax

Practice location:
  • Phone: 502-352-9363
  • Fax:
Mailing address:
  • Phone: 606-356-8941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number007621
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: