Individual
MISS KATELYN GENESIS BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
5100 JOG RD, BOCA RATON, FL 33496-2299
(561) 241-2200
Mailing address
3631 NW 30TH PL APT 107, LAUDERDALE LAKES, FL 33311-8364
(860) 816-0452
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6087
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/29/2017
Last updated
02/11/2025
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