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NPI Code Detail

MEDICARE: MS. JANET SUE BROOKS PT

MEDICARE: MS. JANET SUE BROOKS PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist00520MO
2225100000XPhysical Therapist03383KS

General Provider Information

NPI Number : 1326357674
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANET SUE BROOKS PT
Provider Business Mailing Address
First Line : 4810 STATE AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-1748
Country : US
Telephone Number : 913-321-4567
Fax Number : 913-321-6789
Provider Business Practice Location Address
First Line : 4810 STATE AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-1748
Country : US
Telephone Number : 913-321-4567
Fax Number : 913-321-6789
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2010
Last Update Date : 11/08/2010

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Directions to “ MS. JANET SUE BROOKS PT” Practice Location

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