Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Faye Brouse, ATC

Individual provider Specialist · NPI 1356600860

Marisa Faye Brouse, ATC is a Specialist in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

8100 W 78th St
Edina, MN 55439-2516
Phone: (952) 946-9777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2235 (MN)

Record details

NPI number1356600860
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedMay 4, 2012
Last updated in NPPESMay 4, 2012

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