IndividualActive
Therdo Brooks, CRT
NPI 1124490693 · Radiologic Technologist · Goodyear, AZ
Provider details
- NPI number
- 1124490693
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CRT
- Sex
- Male
- Sole proprietor
- No
- License
- 18024 (AZ)
Mailing address
14450 W Avalon Dr
Goodyear, AZ 85395-8315
Registry dates
- Enumerated
- 2015-10-23
- Last updated
- 2015-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.