Provider Demographics
NPI:1174581961
Name:BRAUN, MICHAEL JOHN (DPT)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOHN
Last Name:BRAUN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CRESCENT CENTRE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7285
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:1812 RITTENBRG BLVD
Practice Address - Street 2:SUITE 18
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-4824
Practice Address - Country:US
Practice Address - Phone:843-779-7377
Practice Address - Fax:843-779-7378
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7732225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU3470ZMedicare ID - Type UnspecifiedINDIVIDUAL PRACTITIONER