Individual ProviderMichael BrooksPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7840 Vinewood Ln N Ste A, Maple Grove, MN 55369-7185(763) 236-0258PECOS EnrollmentBased on the most recent information from CMS, provider Michael Brooks does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1821532862Provider TypeIndividualFull NameBrooks, MichaelGenderMaleSole ProprietorNoEnumeration Date12/9/2016Last Updated7/20/2022Contact InformationPractice LocationPractice Address7840 Vinewood Ln N Ste A, Maple Grove, MN 55369-7185Phone(763) 236-0258FaxUnlisted FaxMailing LocationMailing Address7840 Vinewood Ln N Ste A, Maple Grove, MN 55369-7185Phone(763) 236-0258FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense10494Minnesota