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)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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