| Doctor Name: | MARK BRADLEY HOARD |
| NPI Number: | 1710066659 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 4827 |
| Business Practice Address: | 2016 S 6th St Brainerd, MN - 564014529 |
| Business Phone Number: | 2188287375 |
| Business Fax Number: | 2188257379 |
| Mailing Address: | 14130 County Road 25, BRAINERD |
| State: | MN |
| Postal Code: | 564015060 |
| Phone Number: | 3202934029 |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 12/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4827 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| 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 |