LAINE BRADLEY, PA-S

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1689524787

Practice Address

295 S CHIPETA WAY STE 22
Salt Lake City, UT 84108

Phone: (385) 415-9275

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1689524787 is the National Provider Identifier for LAINE BRADLEY, PA-S, a Student in an Organized Health Care Education/Training Program provider located in Salt Lake City, UT. This NPI was enumerated on January 29, 2026.
LAINE BRADLEY, PA-S practices at 295 S CHIPETA WAY STE 22, Salt Lake City, UT 84108.

Quick Facts

NPI
1689524787
Type
Individual
Enumerated
Jan 29, 2026
Last Updated
Jan 29, 2026

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