Doctor Name: | DR. BRADLEY SHOCKLEY |
NPI Number: | 1073934394 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, HFS |
License Number: | |
Business Practice Address: | 15051 Harmony Hills Ln Abingdon, VA - 242117661 |
Business Phone Number: | 2766231004 |
Business Fax Number: | |
Mailing Address: | 15433 Skyland Ave, BRISTOL |
State: | VA |
Postal Code: | 242023747 |
Phone Number: | 2767334505 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2014 |
NPI Last Update Date: | 01/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |