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KATHERINE BRADLEY ATC
NPI 1073104881
Specialist/Technologist - Athletic Trainer in O Fallon, IL

Active since February 03, 2021
772 WALL ST STE B, O FALLON, IL 62269(618) 624-2400(618) 624-2407 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katherine Bradley Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE BRADLEY ATC (NPI 1073104881) is an individual athletic trainer provider in O Fallon, Illinois, licensed in Illinois (096004885) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1073104881
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKATHERINE BRADLEYCredential: ATC
Location Address772 WALL ST STE BO Fallon, IL 62269-1959
Mailing Address772 Wall St Ste BO Fallon, IL 62269-1959 · (618) 624-2400 · Fax (618) 624-2407
Phone(618) 624-2400
Fax(618) 624-2407
Sole ProprietorNo
Enumeration DateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
✔ NPI 1073104881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in IL · 096004885
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
772 WALL ST STE B, O Fallon, IL 62269
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Bradley's NPI number?

The NPI number for Katherine Bradley is 1073104881. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Where is Katherine Bradley located?

Katherine Bradley practices at 772 Wall St Ste B, O Fallon, IL 62269. The listed phone number is (618) 624-2400.

What is Katherine Bradley's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Katherine Bradley was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.