Russell A Bradt, ATC Valid NPI

Individual provider · Athletic Trainer · Birmingham, AL

NPI

1548470610

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

921 (AL)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-05-23

Last updated

2007-07-08