Vicki Lynn Brunner PTA

NPI 1700084571 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1700084571
Gender Female
Enumeration Date 07/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
111 W 36TH ST
SCOTTSBLUFF NE, 69361-4623, US
Phone (308) 635-2019
Business Location
SCOTTSBLUFF NE, 69361-4552, US
Phone (308) 632-3314
Fax (308) 632-3314
Taxonomy Code 225200000X
License State Nebraska
License Number 251000
Remove 1700084571 NPI Number

According to our database, Mrs. Vicki Lynn Brunner PTA NPI is 1700084571, taxonomy code is 225200000X and license number is 251000, license state is located at Nebraska. Vicki Lynn Brunner PTA physically located at 111 W 36th St, Scottsbluff NE, 69361-4623. NPI Number Vicki Lynn Brunner PTA has the Individual type.

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1700084571 NPI number is provided on an as is basis without warranty of any kind. 1700084571 is maintained by the National Plan & Provider Enumeration System. The contents of Vicki Lynn Brunner PTA are for informational purposes only.