Provider Demographics
NPI:1255758496
Name:BRASHIER, CAREY BRADFORD (PT)
Entity type:Individual
Prefix:MR
First Name:CAREY
Middle Name:BRADFORD
Last Name:BRASHIER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 US HIGHWAY 45
Mailing Address - Street 2:
Mailing Address - City:BALDWYN
Mailing Address - State:MS
Mailing Address - Zip Code:38824
Mailing Address - Country:US
Mailing Address - Phone:662-365-5610
Mailing Address - Fax:662-365-5611
Practice Address - Street 1:715 US HIGHWAY 45
Practice Address - Street 2:
Practice Address - City:BALDWYN
Practice Address - State:MS
Practice Address - Zip Code:38824
Practice Address - Country:US
Practice Address - Phone:662-365-5610
Practice Address - Fax:662-365-5611
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT3571225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist