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NPI Code Detail

MEDICARE: BROOKELLE GRACE BUESCHER PT, DPT

MEDICARE: BROOKELLE GRACE BUESCHER PT, DPT
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
1225100000XPhysical Therapist1408337TX

General Provider Information

NPI Number : 1699605782
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKELLE GRACE BUESCHER PT, DPT
Provider Business Mailing Address
First Line : 17270 RED OAK DR STE 180
Second Line :
City : HOUSTON
State : TX
Zip : 77090-2632
Country : US
Telephone Number : 281-440-7625
Fax Number :
Provider Business Practice Location Address
First Line : 17270 RED OAK DR STE 180
Second Line :
City : HOUSTON
State : TX
Zip : 77090-2632
Country : US
Telephone Number : 281-440-7625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ BROOKELLE GRACE BUESCHER PT, DPT” Practice Location

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