Bryan Muench, PT, MPT, PCS
Individual provider Active NPI Pediatric Physical Therapist · Gladewater, TX
NPI 1669911624 · NPPES record last updated Feb 22, 2017
Key facts
- NPI
- 1669911624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 1143964 (TX)
- Practice address
- 22452 County Road 3107
Gladewater, TX 75647-9690 - Phone
- (903) 985-1098
- NPI assigned
- Feb 22, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1143964 | TX | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1143964 | TX | Yes |
Addresses
Primary practice location
22452 County Road 3107
Gladewater, TX 75647-9690
Mailing address
22452 County Road 3107
Gladewater, TX 75647-9690
Phone (903) 985-1098
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All providers in Gladewater, TX · Pediatric Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.