Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATT BROKAW, PTA
ActiveMATT BROKAW, PTA is a Occupational Therapist healthcare provider located in KEWANEE, Illinois. NPI 1871855155 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · KEWANEE, IL
Registration Details
- NPI Number
- 1871855155
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2012 (14.139631258695 yrs)
- Last Updated
- Jun 12, 2012
- License
-
160002429 (IL)
Practice Information
- Address
-
300 TENNEY STKEWANEE, IL, 614433452Browse IL providers · Browse ZIP 61443
- Phone
- 3098535500
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in KEWANEE, IL
| Name | Credential | NPI |
|---|---|---|
| MONICA ENSLEY | PTA | 1033471313 |
| MALLORY LYNN REIBER | ATC, PTA | 1669910097 |
| ASHLEY NICOLE PAXTON | — | 1669051025 |
| KIMBERLY KAY BECKER | PTA | 1467150367 |
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.