Individual provider · Type 1 NPI
Jack Emery Bradley, DC
Chiropractor · Montrose, CO
NPI number
1396967345
Active
Practice location
101 N Uncompahgre, Suite 1
Montrose, CO 81401
Fax (970) 252-9280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHR3842 (CO) |
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 1396967345
Jack Emery Bradley, DC's National Provider Identifier is 1396967345, issued on May 2, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Montrose, CO. The record was last updated on Jul 9, 2007.