Individual
MRS. BROOKE L RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CMT
Contact information
Practice address
6120 STADIUM DR, SUITE 100, KALAMAZOO, MI 49009-3022
(269) 372-8555
Mailing address
6120 STADIUM DR, SUITE 100, KALAMAZOO, MI 49009-3022
(269) 372-8555
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
01/17/2012
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