TONI S BOBRUK CCC-SLP NPI 1619080637

NPI Information

NPI: 1619080637
Provider Name: TONI S BOBRUK, CCC-SLP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2002 AVENUE O
HUNTSVILLE, TX
ZIP 77340
Phone: (936) 295-2263
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Toni S Bobruk, CCC-SLP is a massage therapist in Huntsville, TX. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Toni S Bobruk, CCC-SLP NPI is 1619080637. 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:

2002 AVENUE O
HUNTSVILLE, TX
ZIP 77340-024
Phone: (936) 295-2263
Fax: (936) 291-6928

The enumeration date for this NPI number is 8/16/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MT016043	TEXAS	Yes
2	235Z00000X	Speech-Language Pathologist		11768	TEXAS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0052901	OTHER	TEXAS	BLUE CROSS & BLUE SHIELD

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

NPI Synchronization or Removal

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