| Doctor Name: | CARLA J BROOK |
| NPI Number: | 1891996062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | NUR-RN-LIC 26699 |
| Business Practice Address: | 850 Holt Dr Montana Athletic Club- Riverbend Physical Therapy Bigfork, MT - 599116218 |
| Business Phone Number: | 4068373255 |
| Business Fax Number: | |
| Mailing Address: | Po Box 441, BIGFORK |
| State: | MT |
| Postal Code: | 599110441 |
| Phone Number: | 4063665070 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2007 |
| NPI Last Update Date: | 08/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NUR-RN-LIC 26699 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |