Doctor Name: | MRS. BROOKE ANNE BRISKE |
NPI Number: | 1225157522 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | PT0000003029 |
Business Practice Address: | 2100 Exeter Rd Germantown, TN - 381383966 |
Business Phone Number: | 9017571350 |
Business Fax Number: | 9017573496 |
Mailing Address: | Po Box 405827, ATLANTA |
State: | GA |
Postal Code: | 303845800 |
Phone Number: | 9012273255 |
Fax Number: | 9012278591 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 09/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT0000003029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |