Individual provider · NPI-1

Joshua A. Brooks, MST, ATC, CEAS, CHES

Specialist/Technologist, Athletic Trainer · Addison, TX

NPI number1932239977
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1932239977
Entity type
Individual (NPI-1)
Name
Mr. Joshua A. Brooks
Credential
MST, ATC, CEAS, CHES
Sex
Male
Sole proprietor
No
Enumeration date
Mar 7, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

17200 Westgrove Dr
Apt. 522
Addison, TX 75001-7122

Phone 469-964-3051

Mailing address

17200 Westgrove Dr
Apt. 522
Addison, TX 75001-7122

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