Individual ProviderJustin BroySpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1800 Admiral Sheehy Dr, Dubuque, IA 52001-2379(563) 583-4949(207) 318-6229PECOS EnrollmentBased on the most recent information from CMS, provider Justin Broy 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 10:50 AM.Profile DetailsProvider ID1881365153Provider TypeIndividualFull NameBroy, JustinCredentialATC, LATGenderMaleSole ProprietorYesEnumeration Date9/25/2021Last Updated9/25/2021Contact InformationPractice LocationPractice Address1800 Admiral Sheehy Dr, Dubuque, IA 52001-2379Phone(563) 583-4949FaxUnlisted FaxMailing LocationMailing Address3410 Route 5 W, Hazel Green, WI 53811-9700Phone(207) 318-6229FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2255A2300XPrimaryDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense110868Iowa