Larry Briscoe

NPI #1619305356 in Kearney, Missouri

Provider Information

NPI Number: 1619305356
Entity Type: Individual
Name: Larry Briscoe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 16, 2013
Last Updated: Sep 25, 2014

Practice Location

Address: 305 S PLATTE CLAY WAY
Address 2: STE A
City: Kearney
State: Missouri
ZIP Code: 64060-8214
Phone: (816) 628-4409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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