| Doctor Name: | DR. KIRK THOMAS BRADLEY |
| NPI Number: | 1205926938 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT,DPT, M.S., ATC |
| License Number: | PT 23700 |
| Business Practice Address: | 2105 W March Ln Ste 3 Stockton, CA - 952076407 |
| Business Phone Number: | 2099513265 |
| Business Fax Number: | 2093513285 |
| Mailing Address: | 13976 E Sparrow Hawk Dr, LOCKEFORD |
| State: | CA |
| Postal Code: | 952379545 |
| Phone Number: | 2097275594 |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 23700 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| 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 |