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NPI Code Detail

MEDICARE: HEATHER BRUMLEVE

MEDICARE: HEATHER BRUMLEVE
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 Therapist1175555TX

General Provider Information

NPI Number : 1194196691
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER BRUMLEVE
Provider Business Mailing Address
First Line : 11110 TOM ADAMS DR
Second Line :
City : AUSTIN
State : TX
Zip : 78753-3354
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11110 TOM ADAMS DR
Second Line :
City : AUSTIN
State : TX
Zip : 78753-3354
Country : US
Telephone Number : 512-491-5444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2015
Last Update Date : 10/10/2015

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Directions to “ HEATHER BRUMLEVE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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