| Organization Name: | BRAD PLUCKHAN, D.C. A CHIROPRACTIC CORPORATION |
| NPI Number: | 1093042244 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRAD J PLUCKHAN (PRESIDENT) |
| Mailing Address: | 8060 Santa Teresa Blvd Suite 110 Gilroy |
| State: | CA US |
| Postal Code: | 950203867 |
| Phone Number: | 4088482225 |
| Fax Number: | 4088426700 |
| NPI Enumeration Date: | 11/09/2009 |
| NPI Last Update Date: | 08/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT23508 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| 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 |