Provider Demographics
NPI:1861727141
Name:BROOKS, JANNALYNN MARIE (PT)
Entity type:Individual
Prefix:MS
First Name:JANNALYNN
Middle Name:MARIE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1945 S OHIO ST
Mailing Address - Street 2:SUITE A/B
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-6791
Mailing Address - Country:US
Mailing Address - Phone:785-404-1616
Mailing Address - Fax:785-404-1643
Practice Address - Street 1:1220 EAST 27TH ST
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601
Practice Address - Country:US
Practice Address - Phone:785-301-2600
Practice Address - Fax:785-301-2603
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS03777225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist