Most Relevant Information
Provider Data
| NPI Number: | 1003807819 |
| Provider Name: | MARK E BROOKS PT, DSC, ECS, OCS |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT38134 |
Most Important Dates
| Enumeration Date: | 11/01/2005 |
| Last Updated: | 01/26/2023 |
Provider Practice Location
116 MERIDIAN WAY STE 9
RICHMOND
KY
404752876
Practice Location Phone/Fax
| Phone: | 8596263131 |
| Fax: | 8596251109 |
Provider Mailing Location
5027 ATWOOD DR STE 2B
RICHMOND
KY
404758322
Provider Mailing Phone/Fax
| Phone: | 8596250001 |
| Fax: | 8596251109 |