Individual provider · Type 1 NPI
Sancia Renee Brooks
Customized Equipment (DME) · Portland, TN
NPI number
1194563767
Active
Practice location
212 Middle Dayle Dr
Portland, TN 37148-2060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management | 1744P3200X | 207921 (TN) |
| Prosthetic/Orthotic Supplier | 335E00000X | 207921 (TN) |
| Customized Equipment (DME) Primary | 332BC3200X | 207921 (TN) |
Customized Equipment (DME): Definition to come...
About NPI 1194563767
Sancia Renee Brooks's National Provider Identifier is 1194563767, issued on Jul 18, 2024. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Portland, TN. The record was last updated on Jul 18, 2024.