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

Mr. Michael Phillip Brueckmann, LMT, NCTMB

Individual provider Specialist · NPI 1104939552

Mr. Michael Phillip Brueckmann, LMT, NCTMB is a Specialist in O Fallon, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1344 Stone Creek Valley Cir
O Fallon, MO 63366-3391
Phone: (636) 795-1758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2001025527 (MO)

Record details

NPI number1104939552
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT , NCTMB
Sole proprietorYes
NPI enumeratedAugust 17, 2006
Last updated in NPPESJuly 8, 2007

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