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General NPI Number Information
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NPI Number | 1386356384
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Entity Type | Individual
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Provider Name | ZACHERY J BRADLEY PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 12/21/2022
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 11201 S EASTERN AVE STE 220
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City | HENDERSON
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State | NV
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Zip | 89052-6202
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Country | US
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Telephone | 702-614-0324
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Fax | 702-341-0324
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Provider Business Mailing Address
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Address Line | 10525 JEREMY POINTE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89144-5439
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Country | US
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Telephone | 469-586-9001
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4932
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License Number State | NV
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