Provider Demographics
NPI:1073955860
Name:FRANK, BRIAN MATTHEW (PT)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:MATTHEW
Last Name:FRANK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11221 ROE AVE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1922
Mailing Address - Country:US
Mailing Address - Phone:913-424-8996
Mailing Address - Fax:
Practice Address - Street 1:11221 ROE AVE
Practice Address - Street 2:SUITE 320
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1922
Practice Address - Country:US
Practice Address - Phone:913-424-8996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004018742225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist