Doctor Name: | MR. ANDREW BRAUN |
NPI Number: | 1013396472 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LAT, CSCS, CES |
License Number: | 1145-39 |
Business Practice Address: | 101 W Edison Ave Suite 110 Appleton, WI - 549151367 |
Business Phone Number: | 9202091662 |
Business Fax Number: | |
Mailing Address: | 101 W Edison Ave, Suite 110 APPLETON |
State: | WI |
Postal Code: | 549151367 |
Phone Number: | 9202091662 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2015 |
NPI Last Update Date: | 05/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | 1145-39 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |