NPI 1073907135

Bradly Pruett, MSATC

Practitioner Athletic Trainer Richmond, VA

Practice location

Address: 1300 W Broad St, Richmond, VA 23284-9089
Phone: (804) 828-2321
Mailing address: 7610 Beth Rd APT C, Henrico, VA 23228-3539

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126001219 (VA)

Other Specialist/Technologist providers in Virginia →

Registry record

NPI: 1073907135
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Mar 2015
Record last updated: 26 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.