Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KANON BROUSSARD
ActiveKANON BROUSSARD is a Physical Therapy Assistant healthcare provider located in HUNTERSVILLE, North Carolina. NPI 1639521172 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · HUNTERSVILLE, NC
Registration Details
- NPI Number
- 1639521172
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2016 (10.101988898888 yrs)
- Last Updated
- Jul 8, 2016
- License
-
09393 (LA)
Practice Information
- Address
-
16405 NORTHCROSS DRSUITE G-2HUNTERSVILLE, NC, 280785091Browse NC providers · Browse ZIP 28078
- Phone
- 8662149644
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in HUNTERSVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. AMY N SCALA | MPT, DPT, COMT | 1043209646 |
| JOSHUA HAYES | PT | 1215903927 |
| DR. ANDREW MARCUS BALL | PT, DPT, PHD | 1730156001 |
| EDUARDO REGNER | P.T. | 1114988920 |
| MRS. THERESA ANN HUDSON | M.S.P.T. | 1518929942 |
| MRS. JENNIFER D BRUCE | PT | 1689639288 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.