MEDICARE: MR. ROBERT BRYAN HUGLI LPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT006880	GA

General Provider Information

NPI Number	:	1407882657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT BRYAN HUGLI LPT

Provider Business Mailing Address
First Line	:	PO BOX 961
Second Line	:
City	:	STATESBORO
State	:	GA
Zip	:	30459-0961
Country	:	US
Telephone Number	:	912-764-9951
Fax Number	:	912-489-4808

Provider Business Practice Location Address
First Line	:	601 BRANNEN ST
Second Line	:
City	:	STATESBORO
State	:	GA
Zip	:	30458-2002
Country	:	US
Telephone Number	:	912-764-9951
Fax Number	:	912-489-4808

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	05/21/2026

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