MARISA FAYE BROUSE ATC
NPI 1356600860
Specialist in Edina, MN

Active since May 04, 2012
8100 W 78TH ST, EDINA, MN 55439(952) 946-9777 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marisa Faye Brouse Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA FAYE BROUSE ATC (NPI 1356600860) is an individual specialist in Edina, Minnesota, licensed in Minnesota (2235) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1356600860
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMARISA FAYE BROUSECredential: ATC
Location Address8100 W 78TH STEdina, MN 55439-2516
Mailing Address3055 Eagandale Pl Apt 228Eagan, MN 55121-1239
Sole ProprietorNo
Enumeration DateMay 4, 2012
NPI 1356600860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MN · 2235
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
8100 W 78TH ST, Edina, MN 55439

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
8100 W 78TH ST
EDINA, MN 55439
Physician Assistant (Surgical)
8100 W 78TH ST, SUITE 225
EDINA, MN 55439
Physical Therapist
8100 W 78TH ST, SUITE 200
EDINA, MN 55439
Specialist/Technologist (Athletic Trainer)
8100 W 78TH ST, SUITE #225
EDINA, MN 55439
Physician Assistant (Surgical)
8100 W 78TH ST, SUITE 225
EDINA, MN 55439
Specialist/Technologist (Athletic Trainer)
8100 W 78TH ST, SUITE 225
EDINA, MN 55439
Specialist/Technologist (Athletic Trainer)
8100 W 78TH ST, SUITE #225
EDINA, MN 55439
Internal Medicine
8100 W 78TH ST
EDINA, MN 55439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa Brouse's NPI number?

The NPI number for Marisa Brouse is 1356600860. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Where is Marisa Brouse located?

Marisa Brouse practices at 8100 W 78th St, Edina, MN 55439. The listed phone number is (952) 946-9777.

What is Marisa Brouse's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Marisa Brouse was last updated on May 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.