Provider Demographics
NPI:1336408327
Name:ROY, BRAD A (PHD)
Entity type:Individual
Prefix:DR
First Name:BRAD
Middle Name:A
Last Name:ROY
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:205 SUNNYVIEW LN
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3120
Mailing Address - Country:US
Mailing Address - Phone:406-751-4512
Mailing Address - Fax:406-751-4101
Practice Address - Street 1:205 SUNNYVIEW LN
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3120
Practice Address - Country:US
Practice Address - Phone:406-751-4512
Practice Address - Fax:406-751-4101
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist