Tiffany C Broeckelman in Lenexa - Sports
Tiffany C Broeckelman - NPI 1194702498
Tiffany C Broeckelman is a Sports in Lenexa, Kansas. Tiffany C Broeckelman practices all healthcare services and medical treatments related to Sports. The NPI Number for Tiffany C Broeckelman is 1194702498. The last update date is 2007-07-08.
Tiffany C Broeckelman's current location address is 7931 Bond St, Lenexa, Kansas. You can contact this provider via phone number 9137540888 and fax number 9137540891. The mailing address for Tiffany C Broeckelman is 7931 Bond St, Lenexa, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tiffany C Broeckelman |
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Address | 7931 Bond St, Lenexa, Kansas |
Phone Number | 9137540888 |
Fax Number | 9137540891 |
Sole Proprietor | X |
Credentials | MSPT, CERT |
NPI Number Detail
NPI Number | 1194702498 |
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Provider Enumeration Date | 2005-12-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 7931 Bond St |
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City | Lenexa |
State | Kansas (KS) |
Post Code | 662141557 |
Phone Number | 9137540888 |
Fax Number | 9137540891 |
Provider's Primary Taxonomy Detail
Speciality | Sports |
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Taxonomy | 2251S0007X |
Licence No | 11-02793 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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What is the unique identifier code issued to Tiffany C Broeckelman by the Centers for Medicare & Medicaid Services?
The Tiffany C Broeckelman has been assigned the NPI (National Provider Identifier) 1194702498. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Tiffany C Broeckelman is physically located?
The Tiffany C Broeckelman is situated at the following address: 7931 Bond St, Lenexa, KS 662141557.
What is the Tiffany C Broeckelman's specialty and taxonomy code?
The Tiffany C Broeckelman's specialty is Sports, and the corresponding taxonomy code is 2251S0007X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194702498 to Tiffany C Broeckelman?
The Tiffany C Broeckelman received its 1194702498 assignment from the Centers for Medicare & Medicaid Services on 2005-12-28.
When was the Tiffany C Broeckelman's information last updated?
The Tiffany C Broeckelman's information was last updated on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH