Provider Demographics
NPI:1215533971
Name:NANIA, BROOKE LEIGH (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:LEIGH
Last Name:NANIA
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:LEIGH
Other - Last Name:TROWBRIDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:116 JOSEPH VITO DR
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-4745
Mailing Address - Country:US
Mailing Address - Phone:304-780-5051
Mailing Address - Fax:
Practice Address - Street 1:1 SETON HILL DR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-1548
Practice Address - Country:US
Practice Address - Phone:724-552-1719
Practice Address - Fax:724-830-1126
Is Sole Proprietor?:No
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART006132255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer