Mark E Brooks
Physical Therapist Electrophysiology, Clinical
116 Meridian Way Ste 9
Richmond
, Kentucky 40475-2876
Mark E Brooks
Physical Therapist Electrophysiology, Clinical
116 Meridian Way Ste 9
Richmond
, Kentucky 40475-2876
(859) 625-1109
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About
Features
Specialties
- Physical Therapist
- Electrophysiology, Clinical
Languages spoken
- English
Location
First Address
- Mark E Brooks
- 5027 Atwood Dr Ste 2b
- Richmond, KY
- Zip : 40475-8322
- Fax : (859) 625-1109
- Phone : (859) 625-0001
Second Address
- Mark E Brooks
- 116 Meridian Way Ste 9
- Richmond, KY
- Zip : 40475-2876
- Fax : (859) 625-1109
- Phone : (859) 626-3131
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 001746 | KY |
| Y | 2251E1300X | Electrophysiology, Clinical | 001746 | KY |
National Provider Identifier
| NPI | 1003807819 |
|---|---|
| Provider Name | Mark E Brooks |
| First Address | Richmond, KY 40475-8322 |
| Second Address | Richmond, KY 40475-2876 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2005 |
| Last Update Date | 27/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000060027 | BC/BS LPTA (01) | KY |
| 000000215122 | BC/BS SPTA (01) | KY |
| 000000310944 | BC/BS RPTA (01) | KY |
| 000000333709 | BC/BS HPTA (01) | KY |
| 611208897 | AETNA (01) | KY |
| 611208897 | BLUEGRASS FAMILY (01) | KY |
| 611208897 | HUMANA (01) | KY |
| 611208897 | TRICARE (01) | KY |
| 611208897 | WORKERS COMP. (01) | KY |
| 87000006 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.