| 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 |