Brooke Serotkin, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501010096 Issued in MI

Practice address

13561 S West Bay Shore Dr Ste 204
Traverse City, MI 49684-6292

Phone

(313) 686-7249

NPI assigned

Jul 16, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1396221065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 W TRUMBULL RD",
            "city": "MAPLE CITY",
            "state": "MI",
            "postal_code": "496649642",
            "telephone_number": "314-686-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13561 S WEST BAY SHORE DR STE 204",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846292",
            "telephone_number": "313-686-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEROTKIN",
        "first_name": "BROOKE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501010096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Living Personal Care
• Senior Outreach Services Inc
• Sense of Self
• Tiffany Valencia Sensoli, DDS
• Sentience Integrated Wellness PLLC
• Shruti Sevak, M.D.
• Lynne Severt, MACCC-SLP
• Kathryn S Shaffer, M.D.
• David Shapiro, DO
• Sharon Lee Reed

• Massage Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.