person
Bradley Dale Pearson, MPT
Specialist in Idaho Falls, Idaho
NPI 1184950016

Bradley Dale Pearson is a Specialist based in Idaho Falls, ID. Bradley Dale Pearson practices in Idaho Falls, ID and has the professional credentials of MPT. The NPI Number for Bradley Dale Pearson is 1184950016 and holds a License No. PT-1125 (Idaho).

The current practice location address for Bradley Dale Pearson is 720 S Woodruff Ave, Idaho Falls, ID and can be reached out via phone at 208-552-5025 and via fax at 208-552-5029.

Location: 720 S Woodruff Ave, Idaho Falls, ID, 83401-5285
person
Provider Profile Details
NPI Number
1184950016
Provider Name
Bradley Dale Pearson
Credential
MPT
Provider Entity Type
Individual
Gender
Male
Address
720 S Woodruff Ave, Idaho Falls, ID, 83401-5285
Phone Number
208-552-5025
Fax Number
208-552-5029
Provider Enumeration Date
10/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
720 S Woodruff Ave
City
State
Zip
83401-5285
Phone Number
208-552-5025
Fax Number
208-552-5029
person
Provider Business Mailing Address Details
Address
720 S Woodruff Ave
City
State
Zip
83401-5285
Phone Number
208-552-5025
Fax Number
208-552-5029
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
PT-1125 (Idaho)
Definition
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.
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