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MICHAEL SHEA BRASHER
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1114259371
Individual Registrant: MICHAEL SHEA BRASHER
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
301 S BAY ST EUSTIS, FL 32726-4005 US
Tel: 662-809-2677 Fax: --
Tel: 662-809-2677 Fax: --
Contact information for business:
641 OLD HICKORY RD GRENADA, MS 38901-2707 US
Tel: 662-809-2677 Fax: --
Tel: 662-809-2677 Fax: --
Registration Information:
NPI: 1114259371
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | FL | PT25058 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
