Individual provider · Type 1 NPI
Michael Phillip Brueckmann, LMT, NCTMB
Specialist · O Fallon, MO
NPI number
1104939552
Active
Practice location
1344 Stone Creek Valley Cir
O Fallon, MO 63366-3391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 2001025527 (MO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in O Fallon
About NPI 1104939552
Michael Phillip Brueckmann, LMT, NCTMB's National Provider Identifier is 1104939552, issued on Aug 17, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in O Fallon, MO. The record was last updated on Jul 8, 2007.