Bryan Treffley Bourcier in Fort Wayne - Physical Therapist

Bryan Treffley Bourcier - NPI 1700076213

Bryan Treffley Bourcier is a Physical Therapist in Fort Wayne, Indiana. Bryan Treffley Bourcier practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Bryan Treffley Bourcier is 1700076213. The last update date is 2022-10-20.

Bryan Treffley Bourcier's current location address is 11130 Pakview Circle Drive, Fort Wayne, Indiana. You can contact this provider via phone number 2602667400. The mailing address for Bryan Treffley Bourcier is 11130 Pakview Circle Drive, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Bryan Treffley Bourcier
Address 11130 Pakview Circle Drive, Fort Wayne, Indiana
Phone Number 2602667400
Fax Number
Sole Proprietor N
Credentials DPT

NPI Number Detail

NPI Number 1700076213
Provider Enumeration Date 2007-07-31
Last Updated Date 2022-10-20

Provider Mailing Address Detail

Address 11130 Pakview Circle Drive
City Fort Wayne
State Indiana (IN)
Post Code 468451545
Phone Number 2602667400
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 05009312A
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
156546 IN GROUP MEDICARE
200880200A IN --
100257920 IN GROUP MEDICAID

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FAQs about Bryan Treffley Bourcier

What is the Bryan Treffley Bourcier's 1700076213?

The Bryan Treffley Bourcier's NPI (National Provider Identifier) Number is 1700076213. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Bryan Treffley Bourcier is geographically located?

The Bryan Treffley Bourcier is physically situated at the following location: 11130 Pakview Circle Drive, Fort Wayne, IN, 468451545.

What is Bryan Treffley Bourcier's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bryan Treffley Bourcier is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.

On what date did the Bryan Treffley Bourcier receive its 1700076213 assignment from the Centers for Medicare & Medicaid Services?

The Bryan Treffley Bourcier was assigned its 1700076213 by the Centers for Medicare & Medicaid Services on 2007-07-31.

As of what date were the Bryan Treffley Bourcier's details last updated?

The information pertaining to the Bryan Treffley Bourcier, including its address, specialty, and other details, was most recently updated on 2022-10-20.

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