| Doctor Name: | BRAD CALLAN |
| NPI Number: | 1295772671 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | PT00008322 |
| Business Practice Address: | 405 Nw Gilman Blvd Suite 200 Issaquah, WA - 980272470 |
| Business Phone Number: | 4253926804 |
| Business Fax Number: | 4253926805 |
| Mailing Address: | 1188 106th Ave Ne, Suite 100 BELLEVUE |
| State: | WA |
| Postal Code: | 980048614 |
| Phone Number: | 4254544864 |
| Fax Number: | 4256463901 |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 03/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00008322 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |