Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE BROOKS, TRS, CTRS
ActiveSHANE BROOKS, TRS, CTRS is a 226000000X healthcare provider located in WEST JORDAN, Utah. NPI 1417774001 is currently active in the NPPES registry. Verify at CMS.
226000000X · WEST JORDAN, UT
Registration Details
- NPI Number
- 1417774001
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 24, 2024 (1.6989446249423 yrs)
- Last Updated
- Sep 24, 2024
- License
-
12998539-4002 (UT)
Practice Information
- Address
-
5500 W BAGLEY PARK RDWEST JORDAN, UT, 840815697Browse UT providers · Browse ZIP 84081
- Phone
- 8012821000
- Primary Specialty
-
226000000X
226000000X
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.