Theriault, Brooke
Theriault, Brooke is an individual health care provider with primary practice located at 1585 S Plaza Way Ste 150 , Flagstaff AZ 86001-7156. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Theriault, Brooke can be contacted via phone (928) 226-1556.Contact Information
Primary practice address
1585 S Plaza Way Ste 150
Flagstaff AZ 86001-7156
Phone: (928) 226-1556
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT-24171 | Arizona |
Profile Details
| NPI number | 1144824137 |
|---|---|
| LBN Legal business name | Theriault, Brooke |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2020 |
| Last updated | Nov 30th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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