| NPI | 1235780909 |
|---|---|
| Other Name | BRADLEY D. ENNIS,DC |
| Entity Type | Organization |
| Authorized Contact | BRADLEY D ENNIS Provider 814-404-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-10-14 |