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MRS. CLEON SHERRILL BROUSSARD P.T. NPI 1013992577


NPI Information

NPI: 1013992577
Provider Name: MRS. CLEON SHERRILL BROUSSARD, P.T.
Classification: Physical Therapist - 2251P0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
9224 BRAMBLE RD
TECUMSEH, MI
ZIP 49286
Phone: (517) 438-2169
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MRS. Cleon Sherrill Broussard, P.T. is a pediatrics physical therapist in Tecumseh, MI with 30 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. MRS. Cleon Sherrill Broussard, P.T. NPI is 1013992577. 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:

9224 BRAMBLE RD
TECUMSEH, MI
ZIP 49286-712
Phone: (517) 438-2169

The enumeration date for this NPI number is 12/7/2005 and was last updated on 11/2/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical Therapist5501007019MICHIGANNo
22251G0304XPhysical TherapistGeriatrics5501007019MICHIGANNo
32251N0400XPhysical TherapistNeurology5501007019MICHIGANNo
42251S0007XPhysical TherapistSports5501007019MICHIGANNo
52251X0800XPhysical TherapistOrthopedic5501007019MICHIGANNo
62251P0200XPhysical TherapistPediatrics5501007019MICHIGANYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.