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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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