Healthcare Provider Details

I. General information

NPI: 1629740162
Provider Name (Legal Business Name): LINDSEY M BROOKS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY M FARRIS PT, DPT

II. Dates (important events)

Enumeration Date: 10/04/2021
Last Update Date: 07/30/2025
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9028 N RODGERS DR SUITE J
CALEDONIA MI
49316
US

IV. Provider business mailing address

9028 N RODGERS DR SUITE J
CALEDONIA MI
49316
US

V. Phone/Fax

Practice location:
  • Phone: 616-891-0600
  • Fax: 616-464-6170
Mailing address:
  • Phone: 616-459-7101
  • Fax: 616-464-6170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501020186
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: