Individual
MYA KATHYRN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5790 MACMILLAN WAY, LANSING, MI 48911-8435
(517) 281-7601
Mailing address
5790 MACMILLAN WAY, LANSING, MI 48911-8435
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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