BRADLEY DALE PEARSON MPT NPI 1184950016

NPI Information

Bradley Dale Pearson, MPT is a specialist in Idaho Falls, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Bradley Dale Pearson, MPT NPI is 1184950016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

720 S WOODRUFF AVE
IDAHO FALLS, ID
ZIP 83401-285
Phone: (208) 552-5025
Fax: (208) 552-5029

The enumeration date for this NPI number is 10/28/2009 and was last updated on 10/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.