Provider Demographics
NPI:1568854834
Name:VANHOOSER, BRITTANY
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:VANHOOSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:VOYLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:853 MEDICAL DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-3823
Mailing Address - Country:US
Mailing Address - Phone:636-327-7240
Mailing Address - Fax:636-327-7249
Practice Address - Street 1:853 MEDICAL DR
Practice Address - Street 2:SUITE 109
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-3823
Practice Address - Country:US
Practice Address - Phone:636-327-7240
Practice Address - Fax:636-327-7249
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015003532225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist