Individual
JACOB DAVID BROCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
43097 WOODWARD AVE STE 102, BLOOMFIELD TOWNSHIP, MI 48302-5042
(313) 278-4601
Mailing address
44670 ANN ARBOR RD W STE 130, PLYMOUTH, MI 48170-4085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501304352
MI
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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