Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON WAYNE DIVAN, DPT, PT
ActiveBRANDON WAYNE DIVAN, DPT, PT is a Physical Therapy Assistant healthcare provider located in BELTON, Missouri. NPI 1790332807 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BELTON, MO
Registration Details
- NPI Number
- 1790332807
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2019 (6.9370624877962 yrs)
- Last Updated
- Oct 6, 2022
- Licenses
-
070.024617 (IL)2022039968 (MO)
Practice Information
- Address
-
17134 BEL RAY PLBELTON, MO, 640125331Browse MO providers · Browse ZIP 64012
- Phone
- 8163180434
- Fax
- 8163180437
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BELTON, MO
| Name | Credential | NPI |
|---|---|---|
| ALISON MARIE KINNEY | PT, DPT | 1831175710 |
| JANET S STONE | PT | 1851303176 |
| LIESL SCHOENGARTH STEVENS | MPT | 1659596773 |
| CARRI ANNE DUNN | PT | 1295984458 |
| AMY KATHLEEN ESTOPARE | PT, DPT | 1962795161 |
| LINDSEY MARIE BALES | PT, DPT | 1841631769 |
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.