IndividualActive
Brenda Bolton, PT
NPI 1710433644 · Physical Therapist · Fulton, MO
Provider details
- NPI number
- 1710433644
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 01609 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3395 State Road J
Fulton, MO 65251-3018
Phone: (573) 642-8126
Approximate (ZIP-level) locationGet directions
Mailing address
3395 State Road J
Fulton, MO 65251-3018
Registry dates
- Enumerated
- 2016-08-31
- Last updated
- 2016-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.