Dr. Kaelee Sara Brockway
Physical Therapist - Geriatrics
1401 Cedar St Ne
Grand Rapids
, Michigan 49503-1375
Dr. Kaelee Sara Brockway
Physical Therapist - Geriatrics
1401 Cedar St Ne
Grand Rapids
, Michigan 49503-1375
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Dr. Kaelee Sara Brockway
- 1401 Cedar St Ne
- Grand Rapids, MI
- Zip : 49503-1375
- Phone :
Second Address
- Dr. Kaelee Sara Brockway
- 1401 Cedar St Ne
- Grand Rapids, MI
- Zip : 49503-1375
- Phone : (616) 260-3871
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics |
National Provider Identifier
| NPI | 1033611470 |
|---|---|
| Provider Name | Dr. Kaelee Sara Brockway |
| First Address | Grand Rapids, MI 49503-1375 |
| Second Address | Grand Rapids, MI 49503-1375 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2018 |
| Last Update Date | 01/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1659356061 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.