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MRS. TIFFANY C BROECKELMAN MSPT CERT MDT NPI 1194702498


NPI Information

NPI: 1194702498
Provider Name: MRS. TIFFANY C BROECKELMAN, MSPT, CERT MDT
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Address:
7931 BOND ST
LENEXA, KS
ZIP 66214
Phone: (913) 754-0888
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MRS. Tiffany C Broeckelman, MSPT, CERT MDT is a sports physical therapist in Lenexa, KS. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. MRS. Tiffany C Broeckelman, MSPT, CERT MDT NPI is 1194702498. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7931 BOND ST
LENEXA, KS
ZIP 66214-557
Phone: (913) 754-0888
Fax: (913) 754-0891

The enumeration date for this NPI number is 12/28/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251S0007XPhysical TherapistSports11-02793KANSASYes
22251X0800XPhysical TherapistOrthopedic11-02793KANSASX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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