Individual provider · Type 1 NPI

Bradley Ray Drake

Chiropractor · Mount Vernon, IL

NPI number 1144330945 Active

Practice location

1315 Main Street
Mount Vernon, IL 62864-3720

Fax (618) 242-4653

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1144330945

Bradley Ray Drake's National Provider Identifier is 1144330945, issued on Aug 30, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Jul 8, 2007.