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

Mrs. Tiffany C Broeckelman, MSPT, CERTMDT

Individual provider Sports Physical Therapist · NPI 1194702498

Mrs. Tiffany C Broeckelman, MSPT, CERTMDT is a Sports Physical Therapist in Lenexa, Kansas. Licensed in Kansas. Registered with an NPI since 2005.

Licensed in
KS
In the registry since
2005
Specialties on file
2

Practice location Address checks out

7931 Bond St
Lenexa, KS 66214-1557
Phone: (913) 754-0888
Fax: (913) 754-0891
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence 11-02793 (KS)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 11-02793 (KS)

Record details

NPI number1194702498
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT , CERTMDT
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESJuly 13, 2026

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