Individual provider · Type 1 NPI

Marisa Faye Brouse, ATC

Specialist · Edina, MN

NPI number 1356600860 Active

Practice location

8100 W 78th St
Edina, MN 55439-2516

Call (952) 946-9777 Map

Mailing address

3055 Eagandale Pl Apt 228
Eagan, MN 55121-1239

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2235 (MN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1356600860

Marisa Faye Brouse, ATC's National Provider Identifier is 1356600860, issued on May 4, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Edina, MN. The record was last updated on May 4, 2012.