Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDRUE BERGMOOSER, DPT
Active Sole ProprietorANDRUE BERGMOOSER, DPT is a Physical Therapy Assistant healthcare provider located in NEW BOSTON, Michigan. NPI 1730567066 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · NEW BOSTON, MI
Registration Details
- NPI Number
- 1730567066
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2015 (11.254703207288 yrs)
- Last Updated
- May 6, 2015
- Licenses
-
PT024140 (PA)5501016942 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24124 OTTER RDNEW BOSTON, MI, 481649678Browse MI providers · Browse ZIP 48164
- Phone
- 7346931326
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
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.