Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Ashlee Bradley, PHYSICIANASSISTANT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093398711

Madison Ashlee Bradley, PHYSICIANASSISTANT is a Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2021.

Licensed in
UT
In the registry since
2021
Specialties on file
2

Practice location Address checks out

375 S Chipeta Way Ste A
Salt Lake City, UT 84108
Phone: (801) 581-7766
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13557217-1206 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093398711
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedApril 30, 2021
Last updated in NPPESDecember 8, 2024
Certification dateDecember 8, 2024

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