IndividualActive
Bradley Bluestone, ATC
NPI 1619088861 · Athletic Trainer · Louisville, KY
Provider details
- NPI number
- 1619088861
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- AT142 (KY)
Mailing address
10305 Cooperwood Ct
Louisville, KY 40229-2276
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2012-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.