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NPI Code Detail

MEDICARE: BRADLEY T METTS P.T.

MEDICARE: BRADLEY T METTS P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5589CO

General Provider Information

NPI Number : 1861518110
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADLEY T METTS P.T.
Provider Business Mailing Address
First Line : 720 COOL SPRINGS BLVD
Second Line : SUITE 300
City : FRANKLIN
State : TN
Zip : 37067-2626
Country : US
Telephone Number : 615-778-4066
Fax Number : 615-778-9114
Provider Business Practice Location Address
First Line : 2322 S ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-2406
Country : US
Telephone Number : 615-778-4066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 07/08/2007

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