Provider Demographics
NPI:1376854109
Name:CARTWRIGHT, BROOKE RANE (LMP)
Entity Type:Individual
Prefix:MS
First Name:BROOKE
Middle Name:RANE
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 99222
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98496-0222
Mailing Address - Country:US
Mailing Address - Phone:253-988-2153
Mailing Address - Fax:
Practice Address - Street 1:9703 109TH ST SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-3065
Practice Address - Country:US
Practice Address - Phone:253-988-2153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-26
Last Update Date:2010-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist