| Doctor Name: | MR. BRADLEY PHILLIP HARDESTY |
| NPI Number: | 1649209149 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 1175 |
| Business Practice Address: | 3650 Mansell Rd Ste 300 Alpharetta, GA - 300223068 |
| Business Phone Number: | 8778963660 |
| Business Fax Number: | |
| Mailing Address: | 8306 Saturn Pl, EL PASO |
| State: | TX |
| Postal Code: | 799042525 |
| Phone Number: | 6054310709 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1175 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | SD |
| 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 |