Provider Demographics
NPI:1801073085
Name:BRUEHLER, BARBARA ANNE (MT)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNE
Last Name:BRUEHLER
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:ANNE
Other - Last Name:BEASLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:853 E DRY CREEK RD STE 7&8
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85143-5315
Mailing Address - Country:US
Mailing Address - Phone:602-529-1926
Mailing Address - Fax:775-599-4779
Practice Address - Street 1:3530 S VAL VISTA DR STE 214
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-7324
Practice Address - Country:US
Practice Address - Phone:602-529-1926
Practice Address - Fax:775-599-4779
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2019-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA44285174400000X
AZMT-22637225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No174400000XOther Service ProvidersSpecialist