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MICHAEL SHEA BRASHER

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1114259371

Individual Registrant:
 MICHAEL SHEA BRASHER 
Gender: M
Sole Proprietor

Location and contact information for practice:
301 S BAY ST  EUSTIS, FL 32726-4005 US
Tel: 662-809-2677  Fax: --

Contact information for business:
641 OLD HICKORY RD  GRENADA, MS 38901-2707 US
Tel: 662-809-2677  Fax: --

Registration Information:
NPI: 1114259371
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT25058

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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