Provider Demographics
NPI:1255764098
Name:EYLER, BRADLEY HAYES (DPT)
Entity type:Individual
Prefix:
First Name:BRADLEY
Middle Name:HAYES
Last Name:EYLER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 CONOWINGO RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-1809
Mailing Address - Country:US
Mailing Address - Phone:410-420-2257
Mailing Address - Fax:410-420-2267
Practice Address - Street 1:1401 CONOWINGO RD
Practice Address - Street 2:SUITE C
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-1809
Practice Address - Country:US
Practice Address - Phone:410-420-2257
Practice Address - Fax:410-420-2267
Is Sole Proprietor?:No
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24594225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist