Individual
JEFFREY S BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 721-5600
(406) 721-3907
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
(406) 721-3907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
549
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0344422
—
MT
Enumeration date
06/14/2006
Last updated
05/04/2020
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