| Doctor Name: | BRADY POWELL |
| NPI Number: | 1053712166 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 1207843 |
| Business Practice Address: | 3050 E Bonanza Rd Suite 110 Las Vegas, NV - 891013703 |
| Business Phone Number: | 7026850440 |
| Business Fax Number: | 7029746717 |
| Mailing Address: | 1701 Bearden Dr, Suite 201 LAS VEGAS |
| State: | NV |
| Postal Code: | 891064189 |
| Phone Number: | 7026850440 |
| Fax Number: | 7029746717 |
| NPI Enumeration Date: | 09/08/2014 |
| NPI Last Update Date: | 02/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1207843 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |