Bradley Michael Smith
Assistive Technology Practitioner
6209 Trail Lake Dr
Fort Worth
, Texas 76133-3405
Bradley Michael Smith
Assistive Technology Practitioner
6209 Trail Lake Dr
Fort Worth
, Texas 76133-3405
(817) 793-3773
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About
Features
Specialties
- Assistive Technology Practitioner
Languages spoken
- English
Location
First Address
- Bradley Michael Smith
- 6209 Trail Lake Dr
- Fort Worth, TX
- Zip : 76133-3405
- Phone : (817) 793-3773
Second Address
- Bradley Michael Smith
- 6209 Trail Lake Dr
- Fort Worth, TX
- Zip : 76133-3405
- Phone : (817) 793-3773
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225CA2400X | Assistive Technology Practitioner | ATP13910 | TX |
National Provider Identifier
| NPI | 1497034995 |
|---|---|
| Provider Name | Bradley Michael Smith |
| First Address | Fort Worth, TX 76133-3405 |
| Second Address | Fort Worth, TX 76133-3405 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2011 |
| Last Update Date | 15/08/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.