Individual
BRANDON STAUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10330 BUNSEN WAY, LOUISVILLE, KY 40299
(502) 495-1662
Mailing address
10330 BUNSEN WAY, LOUISVILLE, KY 40299-2508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03142
KY
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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