Individual
JENNIFER BRUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 SW MARKET ST, LEES SUMMIT, MO 64081-2904
(816) 607-7180
Mailing address
1321 SW MARKET ST, LEES SUMMIT, MO 64081-2904
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4412
NE
208100000X
Physical Medicine & Rehabilitation Physician
Primary
CP017564T
AZ
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/09/2022
Last updated
07/19/2024
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