Individual
SCOTT BRUECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
618 E ELM ST, REPUBLIC, MO 65738-1552
(573) 579-2889
Mailing address
776 LADY OF THE WOODS LN, NIXA, MO 65714-4253
(573) 579-2889
(573) 579-2889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MO
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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