Individual
BRET STEPHEN PERRY
Active
Individual
BRET STEPHEN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04461
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51622018
BCBS-KC
—
01
—
858471
OPTUM
—
01
—
KA2868070
MEDICARE PTAN
KS
01
—
USES NPI
BCBS-KANSAS
KS
Enumeration date
05/24/2012
Last updated
07/21/2022
Update your record
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