Brian Howard Locke, DPT, AT, ATC
Physical Therapist in Mt Pleasant, MI. Individual provider (NPI-1).
NPI number1063480903
StatusActive
Last updated in NPPESFeb 26, 2018
Details
- NPI
- 1063480903
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian Howard Locke
- Credential
- DPT, AT, ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2006
- Last updated
- Feb 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501017207 | MI | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
4851 E Pickard St Ste 2600Mt Pleasant, MI 48858-2042
Phone 989-775-1657 · Fax 989-775-1604
Mailing address
948 N Arrowhead RdWeidman, MI 48893-9263
Phone 989-621-8673
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All 73 Physical Therapist providers in Mt Pleasant · All 1,056 providers in Mt Pleasant
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