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NPI Code Detail

MEDICARE: BRANDON BISCHOFF DPT

MEDICARE: BRANDON BISCHOFF 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 Therapist

General Provider Information

NPI Number : 1043880578
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON BISCHOFF DPT
Provider Business Mailing Address
First Line : 6208 S 161ST ST
Second Line :
City : OMAHA
State : NE
Zip : 68135-5396
Country : US
Telephone Number : 402-214-7900
Fax Number :
Provider Business Practice Location Address
First Line : 513 1ST AVE
Second Line :
City : ZILLAH
State : WA
Zip : 98953-9432
Country : US
Telephone Number : 509-829-5230
Fax Number : 509-829-5269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2021
Last Update Date : 11/11/2024

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Directions to “ BRANDON BISCHOFF DPT” Practice Location

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