Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breanne Bohnert

Individual provider Physical Therapy Assistant · NPI 1396311502

Breanne Bohnert is a Physical Therapy Assistant in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021

Practice location Address checks out

12563 Village Circle Dr
Saint Louis, MO 63127-1758
Phone: (314) 270-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2013025654 (MO)

Record details

NPI number1396311502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2021
Last updated in NPPESMay 28, 2021
Certification dateMay 17, 2021
Mailing address12563 Village Circle Dr, Saint Louis, MO 63127-1758

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