Individual
BROOKE POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 WILSON CIR, WAMEGO, KS 66547-1934
(785) 844-2760
Mailing address
102 WILSON CIR, WAMEGO, KS 66547-1934
(785) 844-2760
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2015032652
MO
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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