Provider Demographics
NPI:1538645577
Name:STEVENS, BROOKE (OTR-L)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:STEVENS
Suffix:
Gender:F
Credentials:OTR-L
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:
Other - Last Name:PIPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:540 FALCON CREST DR
Mailing Address - Street 2:
Mailing Address - City:SPEARFISH
Mailing Address - State:SD
Mailing Address - Zip Code:57783-3252
Mailing Address - Country:US
Mailing Address - Phone:605-491-2832
Mailing Address - Fax:
Practice Address - Street 1:3207 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-8613
Practice Address - Country:US
Practice Address - Phone:406-204-5505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-12
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist