Individual
JENNIFER DIANE BROCKHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CPTA
Contact information
Practice address
820 RAVENHILL DR, ATCHISON, KS 66002-9268
(913) 360-5829
(913) 674-2040
Mailing address
820 RAVENHILL DR, ATCHISON, KS 66002-9268
(913) 360-5829
(913) 674-2040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1400828
KS
2255A2300X
Athletic Trainer
Primary
2400183
KS
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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