Organization
PHYSICAL THERAPY OF HIGGINSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID F BRUMMEL MED RPT (OWNER/THERAPIST)
(660) 584-7801
Entity
Organization
Contact information
Practice address
720 FAIRGROUND AVE, HIGGINSVILLE, MO 64037-1638
(660) 584-7801
(660) 584-8619
Mailing address
720 FAIRGROUND AVE, HIGGINSVILLE, MO 64037-1638
(660) 584-7801
(660) 584-8619
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29748028
BCBSKC
MO
Enumeration date
06/19/2006
Last updated
11/02/2012
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