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General NPI Number Information
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NPI Number | 1932208071
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Entity Type | Individual
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Provider Name | BROOKE W. LOUCKS D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1410 VALLEY VIEW DR STE 309
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City | DELTA
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State | CO
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Zip | 81416-3130
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Country | US
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Telephone | 970-639-1948
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Fax | 970-808-2006
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Provider Business Mailing Address
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Address Line | 546 APRICOT LN
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City | DELTA
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State | CO
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Zip | 81416-3067
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Country | US
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Telephone | 970-639-1948
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Fax | 970-808-2006
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501012984
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License Number State | MI
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