Provider Demographics
NPI:1528402062
Name:BRUGLER, BARBARA NEWMAN (LMT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:NEWMAN
Last Name:BRUGLER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1526 N ATHERTON ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-3041
Mailing Address - Country:US
Mailing Address - Phone:814-237-5220
Mailing Address - Fax:
Practice Address - Street 1:1526 N ATHERTON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-3041
Practice Address - Country:US
Practice Address - Phone:814-237-5220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-27
Last Update Date:2013-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG003384225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist