Brendan Alexander Black, PT, DPT
NPI #1104409143 in Lees Summit, Missouri
Provider Information
- NPI Number
- 1104409143
- Entity Type
- Individual
- Name
- Brendan Alexander Black, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Apr 28, 2021
- Last Updated
- Apr 5, 2024
Practice Location
- Address
- 1321 SW MARKET ST
- City
- Lees Summit
- State
- Missouri
- ZIP Code
- 64081-2904
- Phone
- (816) 607-7180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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