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NPI Code Detail

MEDICARE: BROOKE ROSE COOPER PT, DPT

MEDICARE: BROOKE ROSE COOPER PT, 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
1225100000XPhysical TherapistPT-5284HI
2225100000XPhysical TherapistCP043999TVA
3225100000XPhysical Therapist14695TN
4225100000XPhysical Therapist6038SD
5225100000XPhysical Therapist2022009472MO
6225100000XPhysical Therapist65060OR
7225100000XPhysical TherapistOR
8225100000XPhysical Therapist1347568TX

General Provider Information

NPI Number : 1225706153
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE ROSE COOPER PT, DPT
Provider Business Mailing Address
First Line : 511 NATIONAL ST STE 104
Second Line :
City : BELLE FOURCHE
State : SD
Zip : 57717-1813
Country : US
Telephone Number : 605-723-0185
Fax Number : 605-723-0186
Provider Business Practice Location Address
First Line : 2822 JACKSON BLVD STE 202
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-3497
Country : US
Telephone Number : 605-503-7080
Fax Number : 605-503-7081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2021
Last Update Date : 06/19/2026

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Directions to “ BROOKE ROSE COOPER PT, DPT” Practice Location

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