MR. Brian Howard Locke, DPT, AT, ATC

NPI #1063480903 in Mt Pleasant, Michigan

Provider Information

NPI Number: 1063480903
Entity Type: Individual
Name: MR. Brian Howard Locke, DPT, AT, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT, AT, ATC
Enumeration Date: Mar 8, 2006
Last Updated: Feb 26, 2018

Practice Location

Address: 4851 E PICKARD ST STE 2600
City: Mt Pleasant
State: Michigan
ZIP Code: 48858-2042
Phone: (989) 775-1657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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