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Timothy Charles Brazeal, MS,ATC,PA
Physician Assistant in Lebanon, Missouri
NPI 1083933485

Timothy Charles Brazeal is a Physician Assistant based in Mansfield, MO. Timothy Charles Brazeal practices in Lebanon, MO and has the professional credentials of MS,ATC,PA. The NPI Number for Timothy Charles Brazeal is 1083933485 and holds a License No. 200901846 (Missouri).

The current practice location address for Timothy Charles Brazeal is 331 Hospital Dr, Lebanon, MO and can be reached out via phone at 417-533-6315 and via fax at 417-533-6320.

Location: 331 Hospital Dr, Lebanon, MO, 65704-7212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083933485
Provider Name
Timothy Charles Brazeal
Credential
MS,ATC,PA
Provider Entity Type
Individual
Gender
Male
Address
331 Hospital Dr, Lebanon, MO, 65704-7212
Phone Number
417-533-6315
Fax Number
417-533-6320
Provider Enumeration Date
05/25/2010
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
220051288 05 MO
1083933485 05 MO
institution
Provider Business Practice Location Address Details
Address
331 Hospital Dr
City
Lebanon
State
Missouri
Zip
65536-9217
Phone Number
417-533-6315
Fax Number
417-533-6320
person
Provider Business Mailing Address Details
Address
331 Hospital Dr
City
Lebanon
State
Missouri
Zip
65536-9217
Phone Number
417-533-6315
Fax Number
417-533-6320
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
Athletic Trainer
Taxonomy
2255A2300X
License No.
2018004459 (Missouri)
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
200901846 (Missouri)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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