Brooke Fuller, AT, ATC
NPI #1326438672 in Manchester, Michigan
Provider Information
- NPI Number
- 1326438672
- Entity Type
- Individual
- Name
- Brooke Fuller, AT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- AT, ATC
- Enumeration Date
- Jan 26, 2015
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 18681 WINGATE RD
- City
- Manchester
- State
- Michigan
- ZIP Code
- 48158-9422
- Phone
- (734) 646-3802
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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| MR. Douglas Scott Johnson, ATC |
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