SearchMissouri225100000X

Jacob Brotherton

NPI 1033772900 · on the registry since 2019

Practice

Address
2053 Zumbehl Rd
Saint Charles, MO 63303
Phone
(636) 940-2900
Organisation at this address
Prorehab, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri