| Doctor Name: | MR. BRADLEY WILLIAM MINICH |
| NPI Number: | 1093900045 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 2002021171 |
| Business Practice Address: | 7191 Cahaba Valley Rd Birmingham, AL - 352426402 |
| Business Phone Number: | 2054086450 |
| Business Fax Number: | |
| Mailing Address: | 1425 Brocks Trce, HOOVER |
| State: | AL |
| Postal Code: | 352443956 |
| Phone Number: | 2055600770 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2007 |
| NPI Last Update Date: | 10/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2002021171 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| 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 |