Tyler Brooks, ATC
Physical Medicine & Rehabilitation, Sports Medicine in Bradenton, FL. Individual provider (NPI-1).
NPI number1851753685
StatusActive
Last updated in NPPESMar 22, 2016
Details
- NPI
- 1851753685
- Entity type
- Individual (NPI-1)
- Name
- Tyler Brooks
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2016
- Last updated
- Mar 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | RTO000265 | PA | Yes |
Practice location
1701 27th St EBradenton, FL 34208-7831
Phone 941-747-3031
Mailing address
304 E Chestnut StJonestown, PA 17038-8960
Phone 717-865-7151
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