Provider Demographics
NPI:1073155198
Name:BT ACQUISITIONS, LLC
Entity Type:Organization
Organization Name:BT ACQUISITIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDDLESTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:417-459-7683
Mailing Address - Street 1:204 E WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:CLEVER
Mailing Address - State:MO
Mailing Address - Zip Code:65631-7100
Mailing Address - Country:US
Mailing Address - Phone:417-459-7683
Mailing Address - Fax:
Practice Address - Street 1:1505 S ELLIOTT AVE STE E
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:MO
Practice Address - Zip Code:65605-2155
Practice Address - Country:US
Practice Address - Phone:417-459-7683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty