Individual
MRS. TIFFANY C BROECKELMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSPT, CERT MDT
Contact information
Practice address
7931 BOND ST, LENEXA, KS 66214-1557
(913) 754-0888
(913) 754-0891
Mailing address
6816 W 77TH TER, OVERLAND PARK, KS 66204-3161
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
11-02793
KS
2251X0800X
Orthopedic Physical Therapist
11-02793
KS
Other
Enumeration date
12/28/2005
Last updated
09/11/2025
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