| Doctor Name: | BRYCE A HUDDLESTON |
| NPI Number: | 1669852240 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 2015017509 |
| Business Practice Address: | 16282 State Highway 13 Ste F Branson West, MO - 657378875 |
| Business Phone Number: | 4172723909 |
| Business Fax Number: | 4172723918 |
| Mailing Address: | 427 S Mill St, ROGERSVILLE |
| State: | MO |
| Postal Code: | 657427601 |
| Phone Number: | 4177537735 |
| Fax Number: | 4177537765 |
| NPI Enumeration Date: | 06/09/2015 |
| NPI Last Update Date: | 06/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2015017509 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |