Individual
MATTHEW LEE BROECKELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1150 STATE ST, PHILLIPSBURG, KS 67661-1743
(785) 543-5226
Mailing address
592 7TH ST APT B, PHILLIPSBURG, KS 67661-2151
(785) 545-5714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05916
KS
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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