Kelli Patrice Bradbury, DPT | |
14052 N Greenbriar Rd, Carterville, IL 62918-3164 | |
(618) 303-1290 | |
Not Available |
Full Name | Kelli Patrice Bradbury |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 14052 N Greenbriar Rd, Carterville, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073866851 | NPI | - | NPPES |
9515 | Other | TN | LICENSE |
05009976A | Other | IN | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05009976A (Indiana) | Secondary |
225100000X | Physical Therapist | 9515 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kelli Patrice Bradbury, DPT 14052 N Greenbriar Rd, Carterville, IL 62918-3164 Ph: (618) 303-1290 | Kelli Patrice Bradbury, DPT 14052 N Greenbriar Rd, Carterville, IL 62918-3164 Ph: (618) 303-1290 |
Tlc Of Southern & Central Illinois Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1703 Poteete, Carterville, IL 62918 Phone: 618-985-2181 Fax: 618-985-6055 |