Individual
NATHAN BRECKENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2018 PHOENIX CENTER DR, WASHINGTON, MO 63090-5544
(636) 283-2185
Mailing address
647 SPIRIT AIRPARK WEST DR STE 101, CHESTERFIELD, MO 63005-1032
(636) 223-5700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023038688
MO
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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