Dustin Bradstreet, ATC

NPI 1821460551 · on the registry since 2015 · sole proprietor

Practice

Address: 600 Park St
Fhsu Athletics
Hays, KS 67601
Phone: (785) 628-4311
Organisation at this address: Fort Hays State University
Fort Hays State University
Fort Hays State University
Fort Hays State University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 46

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: KS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas