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NPI Code Detail

MEDICARE: BRENDA DREES PT

MEDICARE: BRENDA DREES PT
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 Therapist1100855KS

General Provider Information

NPI Number : 1982725313
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA DREES PT
Provider Business Mailing Address
First Line : 714 BALLINGER ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-5918
Country : US
Telephone Number : 620-275-0291
Fax Number :
Provider Business Practice Location Address
First Line : 714 BALLINGER ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-5918
Country : US
Telephone Number : 620-275-0291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 07/08/2007

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Directions to “ BRENDA DREES PT” Practice Location

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