IndividualActive
Brandon Kowacich
NPI 1902204290 · Physical Therapy Assistant · Benbrook, TX
Provider details
- NPI number
- 1902204290
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2092157 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1305 Mesquite Trl
Benbrook, TX 76126-3811
Phone: (417) 522-4098
Approximate (ZIP-level) locationGet directions
Mailing address
1305 Mesquite Trl
Benbrook, TX 76126-3811
Registry dates
- Enumerated
- 2014-12-18
- Last updated
- 2014-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.