Individual provider · Type 1 NPI

Brooke L. Randall, ATC, CMT

Massage Therapist · Kalamazoo, MI

NPI number 1720121056 Active

Practice location

6120 Stadium Dr, Suite 100
Kalamazoo, MI 49009-3022

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Massage Therapist Primary 225700000XNone listed

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1720121056

Brooke L. Randall, ATC, CMT's National Provider Identifier is 1720121056, issued on Feb 15, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kalamazoo, MI. The record was last updated on Jan 17, 2012.