Mrs. Cleon Sherrill Broussard
Physical Therapist Physical Therapist - Sports Physical Therapist - Neurology Physical Therapist - Geriatrics and 2 more
9224 Bramble Rd
Tecumseh
, Michigan 49286-8712
Mrs. Cleon Sherrill Broussard
Physical Therapist Physical Therapist - Sports Physical Therapist - Neurology Physical Therapist - Geriatrics and 2 more
9224 Bramble Rd
Tecumseh
, Michigan 49286-8712
(517) 438-2169
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Geriatrics
- Physical Therapist - Neurology
- Physical Therapist - Pediatrics
- Physical Therapist - Sports
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Mrs. Cleon Sherrill Broussard
- 9224 Bramble Rd
- Tecumseh, MI
- Zip : 49286-8712
- Phone : (517) 438-2169
Second Address
- Mrs. Cleon Sherrill Broussard
- 9224 Bramble Rd
- Tecumseh, MI
- Zip : 49286-8712
- Phone : (517) 438-2169
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 5501007019 | MI |
| N | 2251G0304X | Physical Therapist - Geriatrics | 5501007019 | MI |
| N | 2251N0400X | Physical Therapist - Neurology | 5501007019 | MI |
| Y | 2251P0200X | Physical Therapist - Pediatrics | 5501007019 | MI |
| N | 2251S0007X | Physical Therapist - Sports | 5501007019 | MI |
| N | 2251X0800X | Physical Therapist - Orthopedic | 5501007019 | MI |
National Provider Identifier
| NPI | 1013992577 |
|---|---|
| Provider Name | Mrs. Cleon Sherrill Broussard |
| First Address | Tecumseh, MI 49286-8712 |
| Second Address | Tecumseh, MI 49286-8712 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2005 |
| Last Update Date | 02/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.