Bradley Jon Leavelle in Oakdale - Physical Therapist
Bradley Jon Leavelle - NPI 1376577874
Bradley Jon Leavelle is a Physical Therapist in Oakdale, Minnesota. Bradley Jon Leavelle practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Bradley Jon Leavelle is 1376577874. The last update date is 2021-06-23.
Bradley Jon Leavelle's current location address is 7825 3rd St N, Oakdale, Minnesota. You can contact this provider via phone number 9528354512 and fax number 8884250398. The mailing address for Bradley Jon Leavelle is 7825 3rd St N, Oakdale, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Jon Leavelle |
|---|---|
| Address | 7825 3rd St N, Oakdale, Minnesota |
| Phone Number | 9528354512 |
| Fax Number | 8884250398 |
| Sole Proprietor | N |
| Credentials | MSPT, OCS |
NPI Number Detail
| NPI Number | 1376577874 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2021-06-23 |
Provider Mailing Address Detail
| Address | 7825 3rd St N |
|---|---|
| City | Oakdale |
| State | Minnesota (MN) |
| Post Code | 551285444 |
| Phone Number | 9528354512 |
| Fax Number | 8884250398 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 6075 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique 10-digit identifier code assigned to Bradley Jon Leavelle by the Centers for Medicare & Medicaid Services?
The Bradley Jon Leavelle has been issued the NPI (National Provider Identifier) 1376577874 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Bradley Jon Leavelle's physical address?
The Bradley Jon Leavelle is physically located at 7825 3Rd St N, in the city of Oakdale, MN, with the postal code 551285444.
What is Bradley Jon Leavelle's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bradley Jon Leavelle is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date did the Bradley Jon Leavelle receive its 1376577874 assignment from the Centers for Medicare & Medicaid Services?
The Bradley Jon Leavelle was assigned its 1376577874 by the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the information regarding Bradley Jon Leavelle, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bradley Jon Leavelle, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-06-23.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY