Healthcare Provider Details

I. General information

NPI: 1689585457
Provider Name (Legal Business Name): BROOKE DRURY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 W LAYTON AVE
MILWAUKEE WI
53228-3348
US

IV. Provider business mailing address

2040 S 73RD ST
MILWAUKEE WI
53219-1212
US

V. Phone/Fax

Practice location:
  • Phone: 847-537-3445
  • Fax:
Mailing address:
  • Phone: 847-346-5256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1780024
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: