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Brad Stacy Allen, PT

Physical Therapist in Lubbock, TX. Individual provider (NPI-1).

NPI number1982608550
StatusActive
Last updated in NPPESFeb 12, 2020

Details

NPI
1982608550
Entity type
Individual (NPI-1)
Name
Mr. Brad Stacy Allen
Credential
PT
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 10, 2005
Certification date
Feb 12, 2020
Last updated
Feb 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1085595TXYes

Practice location

4214 98th St
Lubbock, TX 79423-3957

Phone 806-712-7878 · Fax 806-722-7878

Mailing address

5521 50th St Apt 807
Lubbock, TX 79414-1647

Phone 979-450-4602

Other practice locations

1905 Dove Crossing Ln
Ste A & B
Navasota, TX 77868-5272

Phone 936-870-3475 · Fax 936-870-3476

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