Provider Demographics
NPI:1467621359
Name:RIO, BRADLEY
Entity Type:Individual
Prefix:
First Name:BRADLEY
Middle Name:
Last Name:RIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MAXWELL RD
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214-7127
Mailing Address - Country:US
Mailing Address - Phone:814-335-2937
Mailing Address - Fax:
Practice Address - Street 1:900 3RD ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MN
Practice Address - Zip Code:55333-9799
Practice Address - Country:US
Practice Address - Phone:507-557-2211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant