Individual
BROOKE EAKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1870 QUAKER WAY, WILMINGTON, OH 45177-2473
(937) 818-7050
Mailing address
6184 ROGERS RD, JAMESTOWN, OH 45335-8709
(937) 818-7050
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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