Individual provider · Type 1 NPI

Brandon Wayne Divan, DPT, PT

Physical Therapist · Belton, MO

NPI number 1790332807 Active

Practice location

17134 Bel Ray Pl
Belton, MO 64012-5331

Fax (816) 318-0437

Mailing address

535 E North St Ste C
Bradley, IL 60915-1188

Other practice locations

  • 517 E North St, Bradley, IL 60915-1258 · (815) 802-7503
  • 341 S Main St, Clifton, IL 60927-7091 · (815) 918-5084

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X070.024617 (IL)
Physical Therapist Primary 225100000X2022039968 (MO)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1790332807

Brandon Wayne Divan, DPT, PT's National Provider Identifier is 1790332807, issued on Aug 22, 2019. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Belton, MO. The record was last updated on Oct 6, 2022.