NPI 1174090039

Derionne Brooks

Practitioner Athletic Trainer University, MS

Practice location

Address: 972 Hathorn Road, University, MS 38655
Phone: (504) 496-1361
Mailing address: 407 Beauregard Cir, Oxford, MS 38655-5063

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT0742 (MS)

Other Specialist/Technologist providers in Mississippi →

Registry record

NPI: 1174090039
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2018
Record last updated: 30 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.