Courtney Leanne Bradley, ATC
Individual provider Active NPI Athletic Trainer · Columbia, SC
NPI 1104356609 · NPPES record last updated Jun 15, 2017
Key facts
- NPI
- 1104356609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1300 Wheat St
Columbia, SC 29208-0001 - Phone
- (803) 777-0636
- NPI assigned
- Jun 15, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
1300 Wheat St
Columbia, SC 29208-0001
Mailing address
1051 Southern Dr Unit 2501
Columbia, SC 29201-5602
Phone (541) 806-2315
Other providers in Columbia, SC
- Randolph Brown Bradford
- Ravette Nichol Bradford
- Andrea Bullock Bradley
- April Rain Bradley
- Coretta Anvis Bradley
- Hailey Kealani Bradley
- Kaylen Bradley
- Linda Lauren McMeekin Bradley
- Morcia K Bradley
- Nancy Jones Bradley
All providers in Columbia, SC · Athletic Trainer in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.