Provider Demographics
NPI:1871387191
Name:BROOKE, JENI (RRT)
Entity type:Individual
Prefix:
First Name:JENI
Middle Name:
Last Name:BROOKE
Suffix:
Gender:
Credentials:RRT
Other - Prefix:
Other - First Name:JENI
Other - Middle Name:
Other - Last Name:DIXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:1959 NE PACIFIC ST CC404, BOX 356172
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-0001
Mailing Address - Country:US
Mailing Address - Phone:206-598-5864
Mailing Address - Fax:206-598-3621
Practice Address - Street 1:1959 NE PACIFIC ST CC404, BOX 356172
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-598-5864
Practice Address - Fax:206-598-3621
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALR00003609227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered