Individual
DR. BROGAN TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
24530 SOUTHSIDE RD, WAYNESVILLE, MO 65583-3317
(217) 855-7745
Mailing address
20336 SCHOLAR LN, WAYNESVILLE, MO 65583-3418
(217) 855-7745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007181
KY
225100000X
Physical Therapist
2021048123
MO
Other
Enumeration date
07/27/2017
Last updated
12/02/2021
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