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Thomas Broback, DPT,CSCS
Orthopedic Physical Therapist in Stillwater, Minnesota
NPI 1063930493

Thomas Broback is a Orthopedic Physical Therapist based in Rosemount, MN and is specialized in Orthopedic. Thomas Broback practices in Stillwater, MN and has the professional credentials of DPT,CSCS. The NPI Number for Thomas Broback is 1063930493 and holds a License No. 10800 (Minnesota).

The current practice location address for Thomas Broback is 14382 60Th St N, Stillwater, MN and can be reached out via phone at 651-342-0509. You can also correspond with Thomas Broback through the mailing address at 4281 143RD ST W, ROSEMOUNT, MN - 55068-3671 (mailing address contact number: 651-395-1352).

Location: 14382 60Th St N, Stillwater, MN, 55068-3671
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063930493
Provider Name
Thomas Broback
Credential
DPT,CSCS
Provider Entity Type
Individual
Gender
Male
Address
14382 60Th St N, Stillwater, MN, 55068-3671
Phone Number
651-342-0509
Fax Number
Provider Enumeration Date
09/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14382 60Th St N
City
Stillwater
State
Minnesota
Zip
55082-6311
Phone Number
651-342-0509
Fax Number
person
Provider Business Mailing Address Details
Address
4281 143Rd St W
City
Rosemount
State
Minnesota
Zip
55068-3671
Phone Number
651-395-1352
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
10800 (Minnesota)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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