Male or Other

Grant Brooks

Rehabilitation Practitioner in Madison, WI(View on Map)

Full Name

Grant Brooks

NPI Number

1558767640

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/17/2014

Specialties

(Taxonomies)

Code

225400000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

225400000

Contact
Information

Purpose

Mailing
Location

Address

202 S PARK ST
202 S PARK ST

City

Madison
Madison

State

WI
WI

Postal Code

53715-1507
53715-1507

Country

US
US

Telephone Number

(608) 417-6000
(608) 417-6000

Identifiers

Identifier

7226940411

Identifier State

WI

Identifier Issuer

NSCA-CPT

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/26/2014

Provider Address

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