Doctor Name: | MURIEL BROCK |
NPI Number: | 1114071131 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 01965 |
Business Practice Address: | 11900 W 87th Street Pkwy Suite 125 Lenexa, KS - 662152807 |
Business Phone Number: | 9137476100 |
Business Fax Number: | 9137476101 |
Mailing Address: | 9108 N Stark Ct, KANSAS CITY |
State: | MO |
Postal Code: | 641579750 |
Phone Number: | 8168414697 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 01965 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |