Provider Demographics
NPI:1508055492
Name:ATCHISON, BRADLEY T (MS OTR, PHD)
Entity Type:Individual
Prefix:MR
First Name:BRADLEY
Middle Name:T
Last Name:ATCHISON
Suffix:
Gender:M
Credentials:MS OTR, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:WALSENBURG
Mailing Address - State:CO
Mailing Address - Zip Code:81089-2011
Mailing Address - Country:US
Mailing Address - Phone:719-738-1701
Mailing Address - Fax:
Practice Address - Street 1:201 E 5TH ST
Practice Address - Street 2:
Practice Address - City:WALSENBURG
Practice Address - State:CO
Practice Address - Zip Code:81089-2011
Practice Address - Country:US
Practice Address - Phone:719-738-1701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist