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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BROOKE FULLER, AT, ATC

Active Sole Proprietor

BROOKE FULLER, AT, ATC is a Athletic Trainer healthcare provider located in MANCHESTER, Michigan. NPI 1326438672 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MANCHESTER, MI

Registration Details

NPI Number
1326438672
Provider Type
Individual
Gender
Female
NPI Issued
Jan 26, 2015 (11.373817014731 yrs)
Last Updated
Jan 26, 2015
License
2000016497 (MI)
Sole Proprietor
Yes

Practice Information

Address
18681 WINGATE RD
MANCHESTER, MI, 481589422
Browse MI providers · Browse ZIP 48158
Phone
7346463802
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MANCHESTER, MI

Name Credential NPI
MATTHEW WALKER 1578915518
ABBY SWEENEY 1255121273
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.