Provider Demographics
NPI:1265927768
Name:BACHMANN, BRADY FREDERICK (PT, DPT)
Entity type:Individual
Prefix:MR
First Name:BRADY
Middle Name:FREDERICK
Last Name:BACHMANN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 611
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53008
Mailing Address - Country:US
Mailing Address - Phone:262-798-9650
Mailing Address - Fax:262-798-9652
Practice Address - Street 1:275 REGENCY CT.
Practice Address - Street 2:SUITE 200
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045
Practice Address - Country:US
Practice Address - Phone:262-798-9650
Practice Address - Fax:262-798-9652
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14150-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist