IndividualActive
Bradley Deckard, P.T.
NPI 1649525148 · Physical Therapist · Kennett, MO
Provider details
- NPI number
- 1649525148
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- License
- 2004030992 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1120 Falcon Dr
Kennett, MO 63857-3825
Phone: (573) 888-1150
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 57
Saint Francis, AR 72464-0057
Registry dates
- Enumerated
- 2012-07-20
- Last updated
- 2012-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.