MEDICARE: BROOKE WINTER A.T.C.

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	2255A2300X	Athletic Trainer	2417	MN

General Provider Information

NPI Number	:	1306278361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE WINTER A.T.C.

Provider Business Mailing Address
First Line	:	903 ISANTI PKWY NW
Second Line	:
City	:	ISANTI
State	:	MN
Zip	:	55040-7508
Country	:	US
Telephone Number	:	763-458-0101
Fax Number	:

Provider Business Practice Location Address
First Line	:	5466 SAINT CROIX TRL
Second Line	:	SUITE 107
City	:	NORTH BRANCH
State	:	MN
Zip	:	55056-4204
Country	:	US
Telephone Number	:	651-674-7589
Fax Number	:

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

Provider Enumeration Date	:	08/01/2013
Last Update Date	:	08/01/2013

Similar Medicare Providers

1871044602 — LYDIA VEEDER
Practice Location Address:

5466 SAINT CROIX TRL , SUITE H
NORTH BRANCH, MN
55056-4204

Practice Phone: 615-674-7589
Practice Fax:

1447336144 — DR. EDUARDO OLEGARIO D.M.D.
Practice Location Address:

172 N DARTMOUTH MALL
NORTH DARTMOUTH, MA
02747-4204

Practice Phone: 508-996-3360
Practice Fax:

1811073521 — DR. CHONG SONG LEE D.M.D.,M.M.SC.
Practice Location Address:

172 N DARTMOUTH MALL
NORTH DARTMOUTH, MA
02747-4204

Practice Phone: 508-996-3360
Practice Fax:

1720156540 — R.MANGAPIT JR&E. OLEGARIO DMDPC
Practice Location Address:

172 N DARTMOUTH MALL
NORTH DARTMOUTH, MA
02747-4204

Practice Phone: 508-996-3360
Practice Fax: 508-997-6673

1780740431 — LUXOTTICA RETAIL NORTH AMERICA INC
Practice Location Address:

100 N DARTEMOUTH , NORTH DARTMOUTH MALL
N DARTMOUTH, MA
02747-4204

Practice Phone: 508-994-8092
Practice Fax:

1063631232 — CARYN M WEST & ASSOC PC
Practice Location Address:

211 NORTH WASHINGTON ST
SUMTER, SC
29150-4204

Practice Phone: 803-775-9314
Practice Fax: 803-773-8381

Directions to “ BROOKE WINTER A.T.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.