Individual
BROOKE NACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3500 FRANCISCAN WAY STE 400, MICHIGAN CITY, IN 46360
(219) 878-8200
(219) 878-8331
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007756A
IN
Other
Enumeration date
12/16/2018
Last updated
08/13/2019
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