Individual
ANTHONY R BRENNEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
3600 COUNTRY CLUB DR, STE 530B, JEFFERSON CITY, MO 65109-1060
(573) 606-7100
(573) 681-0445
Mailing address
3600 COUNTRY CLUB DR, STE 530B, JEFFERSON CITY, MO 65109-1060
(573) 606-7100
(573) 681-0445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006024759
MO
Other
Enumeration date
11/10/2014
Last updated
05/23/2022
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