| Doctor Name: | JOSEPH WILLIAM BROCKWAY |
| NPI Number: | 1588995575 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 161 |
| Business Practice Address: | 167 S Santa Claus Ln Ste B North Pole, AK - 997057755 |
| Business Phone Number: | 9074884978 |
| Business Fax Number: | 9074884976 |
| Mailing Address: | 1673 Lyon Redwood Rd, TRACY |
| State: | MN |
| Postal Code: | 561752114 |
| Phone Number: | 5076260577 |
| Fax Number: | |
| NPI Enumeration Date: | 01/15/2010 |
| NPI Last Update Date: | 01/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 161 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AK |
| 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 |