MEDICARE: BROOKE HASIER DPT

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
1	225200000X	Physical Therapy Assistant	160.008222	IL
2	225100000X	Physical Therapist	070.028938	IL

General Provider Information

NPI Number	:	1003370461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE HASIER DPT

Provider Business Mailing Address
First Line	:	24805 S DERBY GLEN LN
Second Line	:
City	:	MONEE
State	:	IL
Zip	:	60449-8980
Country	:	US
Telephone Number	:	708-534-8628
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 E NORTH ST
Second Line	:
City	:	BRADLEY
State	:	IL
Zip	:	60915-1258
Country	:	US
Telephone Number	:	815-725-2194
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2019
Last Update Date	:	03/24/2025

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