Individual
BRECK ALAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
501 S MADISON ST STE L, WEBB CITY, MO 64870-2426
(417) 673-2156
(417) 673-2176
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020037945
MO
Other
Enumeration date
11/09/2020
Last updated
06/25/2021
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