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Anthony Bruzzichesi, ATC — NPI 1699346411, Mountain Grove, MO | NPI Central

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NPI 1699346411

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Anthony Bruzzichesi, ATC

NPI 1699346411 · Physical Therapy Assistant · Mountain Grove, MO

Provider details

NPI number: 1699346411
Entity type: Individual
Primary specialty: Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: ATC
Sex: Male
Sole proprietor: No
License: 2021037957 (MO)

Specialties & taxonomies

Physical Therapy AssistantPrimary225200000XLicense PTA4657 (AR)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant225200000XLicense 2021037957 (MO)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Athletic Trainer2255A2300XLicense 2021024436 (MO)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Practice location

1206 N Main St

Mountain Grove, MO 65711-1025

Phone: (417) 926-5699

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

1480 8th St

West Plains, MO 65775-2010

Additional practice locations (1)

1480 8th St
West Plains, MO 65775-2010
Phone: (417) 256-5669

Registry dates

Enumerated: 2021-07-02
Last updated: 2023-12-22
Certified: 2023-12-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.