Individual provider · NPI-1

Jessica L Brooks, ATC

Specialist/Technologist, Athletic Trainer · Oklahoma City, OK

NPI number1194934646
StatusActive
Last updated in NPPESAug 12, 2008

Details

NPI
1194934646
Entity type
Individual (NPI-1)
Name
Jessica L Brooks
Credential
ATC
Sex
Female
Sole proprietor
No
Enumeration date
May 22, 2007
Last updated
Aug 12, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer504OKYes

Practice location

8100 S Walker Ave
Suite B
Oklahoma City, OK 73139-9402

Phone 405-760-1316

Mailing address

2609 Sw 60th St
Oklahoma City, OK 73159-1703

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