Provider Demographics
NPI:1811269384
Name:PLOWMAN, BRADEN D (PT, DPT)
Entity type:Individual
Prefix:
First Name:BRADEN
Middle Name:D
Last Name:PLOWMAN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 TWIN SHORES CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-6403
Mailing Address - Country:US
Mailing Address - Phone:859-279-1787
Mailing Address - Fax:888-393-6416
Practice Address - Street 1:651 PERIMETER DR STE 650
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-4139
Practice Address - Country:US
Practice Address - Phone:859-279-1787
Practice Address - Fax:888-393-6416
Is Sole Proprietor?:No
Enumeration Date:2012-01-31
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY005906225100000X, 2251E1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, Clinical