Healthcare Provider Details

I. General information

NPI: 1366113441
Provider Name (Legal Business Name): BROOKE LYNAE BOYER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2021
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2122 VETERANS MEMORIAL PKWY S STE C
LAFAYETTE IN
47909-9339
US

IV. Provider business mailing address

2122 VETERANS MEMORIAL PKWY S STE C
LAFAYETTE IN
47909-9339
US

V. Phone/Fax

Practice location:
  • Phone: 765-471-7000
  • Fax: 765-250-3414
Mailing address:
  • Phone: 765-471-7000
  • Fax: 765-250-3414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number13723
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: