Provider Demographics
NPI:1790377950
Name:BROOKS, BRITTNEY MARIE (CRT)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:MARIE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27251 WESLEY CHAPEL BLVD STE 1125
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-4285
Mailing Address - Country:US
Mailing Address - Phone:352-232-3820
Mailing Address - Fax:813-435-2458
Practice Address - Street 1:27251 WESLEY CHAPEL BLVD STE 1125
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-4285
Practice Address - Country:US
Practice Address - Phone:352-232-3820
Practice Address - Fax:813-435-2458
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT167622278H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health