IndividualActive
Bradley Earnest, PT
NPI 1710754767 · Sports Physical Therapist · Canton, GA
Provider details
- NPI number
- 1710754767
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT015872 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
330 Ronnell Rd Bldg 300
Canton, GA 30115-8636
Phone: (404) 308-0817
Approximate (ZIP-level) locationGet directions
Mailing address
1773 Vista Trce
Decatur, GA 30033-1143
Registry dates
- Enumerated
- 2023-12-11
- Last updated
- 2023-12-11
- Certified
- 2023-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.