Doctor Name: | KATHERINE HETTLEMAN BRUCKER |
NPI Number: | 1518238658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 26334 |
Business Practice Address: | 216 Santa Barbara Blvd Cape Coral, FL - 339912031 |
Business Phone Number: | 2392428473 |
Business Fax Number: | |
Mailing Address: | 2415 Ashbury Cir, CAPE CORAL |
State: | FL |
Postal Code: | 339913160 |
Phone Number: | 2395588159 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2012 |
NPI Last Update Date: | 01/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 26334 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |