Individual
MR. BRIAN KREISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, DSC
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-1641
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(627) 408-1641
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019914
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT019914
BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS, PHYSICAL THERAPIST LICENSE NO.
PA
Enumeration date
09/28/2009
Last updated
05/13/2026
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