Individual
BROOKE MARIE WILKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1057, ADA, MI 49301-1057
(616) 682-7429
(616) 825-6096
Mailing address
PO BOX 1057, ADA, MI 49301-1057
(616) 682-7429
(616) 825-6096
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
88643
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
04/04/2026
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