Individual
BROOKE LAFAYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2572 E SOUTH WEBER DR STE 5, SOUTH WEBER, UT 84405-9550
(801) 479-7045
Mailing address
1902 E 700 S UNIT C416, CLEARFIELD, UT 84015-3184
(540) 656-8434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13789678-2401
UT
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
08/24/2020
Last updated
03/15/2024
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