| Doctor Name: | MARK E BROOKS |
| NPI Number: | 1003807819 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DSC, ECS, OCS |
| License Number: | 001746 |
| Business Practice Address: | 116 Meridian Way Ste 9 Richmond, KY - 404752876 |
| Business Phone Number: | 8596263131 |
| Business Fax Number: | 8596251109 |
| Mailing Address: | 5027 Atwood Dr Ste 2b, RICHMOND |
| State: | KY |
| Postal Code: | 404758322 |
| Phone Number: | 8596250001 |
| Fax Number: | 8596251109 |
| NPI Enumeration Date: | 11/01/2005 |
| NPI Last Update Date: | 03/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 001746 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |