Individual
BRIAN C MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1096 TOM GINNEVER AVE, O FALLON, MO 63366-4519
(636) 978-5255
(636) 978-5287
Mailing address
607 DEWEY AVE NW, STE 300, GRAND RAPIDS, MI 49504-7335
(616) 356-5000
(616) 356-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001009061
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00602663
RAILROAD MEDICARE
MO
Enumeration date
05/22/2006
Last updated
02/06/2017
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