| Brandon Wayne Divan, DPT, PT | |
|
17134 Bel Ray Pl, Belton, MO 64012-5331 | |
| (816) 318-0434 | |
| (816) 318-0437 |
| Full Name | Brandon Wayne Divan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 17134 Bel Ray Pl, Belton, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790332807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.024617 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 2022039968 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Wayne Divan, DPT, PT 535 E North St Ste C, Bradley, IL 60915-1188 Ph: (815) 802-7503 | Brandon Wayne Divan, DPT, PT 17134 Bel Ray Pl, Belton, MO 64012-5331 Ph: (816) 318-0434 |
Julia M Profit, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 924 N Scott Ave, Belton, MO 64012 Phone: 816-331-9111 Fax: 816-348-0492 | |
Hailey Kay Aldana, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8444 Clint Dr, Belton, MO 64012 Phone: 816-831-3670 | |
Mason Gahan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1825 E North Ave, Belton, MO 64012 Phone: 816-775-4747 | |
Kelsey Nicole Anderson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17134 Bel Ray Pl, Belton, MO 64012 Phone: 816-318-0434 Fax: 816-318-0437 | |
Dr. Benjamin Theodore Horowitz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 107 Bernard Dr, Belton, MO 64012 Phone: 816-331-7848 | |
Joshua Thomas Lizar, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17134 Bel Ray Pl, Belton, MO 64012 Phone: 816-318-0434 | |
Benjamin Brian Clark, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7909 Forrest Ave, Belton, MO 64012 Phone: 816-738-1666 |