NPI 1033772900

Jacob Brotherton

Practitioner Physical Therapist Saint Charles, MO

Practice location

Address: 2053 Zumbehl Rd, Saint Charles, MO 63303-2723
Phone: (636) 940-2900
Mailing address: 600 Oakmont Ln STE 600c, Westmont, IL 60559-5548

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2019026777 (MO)

Other Physical Therapist providers in Missouri →

Registry record

NPI: 1033772900
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2019
Record last updated: 16 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.