Individual
BRANDON KEITH FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
115 W BROADWAY BLVD, STE 300, SEDALIA, MO 65301-5708
(660) 827-2945
(660) 827-2961
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014031708
MO
2255A2300X
Athletic Trainer
2011030388
MO
Other
Enumeration date
08/25/2011
Last updated
02/09/2017
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