Provider Demographics
NPI:1225634231
Name:COVEL, BROOKE ASHLEY (MED, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:ASHLEY
Last Name:COVEL
Suffix:
Gender:F
Credentials:MED, ATC, LAT
Other - Prefix:MRS
Other - First Name:BROOKE
Other - Middle Name:ASHLEY
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, ATC, LAT
Mailing Address - Street 1:3213 74TH ST APT B
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1393
Mailing Address - Country:US
Mailing Address - Phone:806-678-0089
Mailing Address - Fax:
Practice Address - Street 1:3213 74TH ST APT B
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1393
Practice Address - Country:US
Practice Address - Phone:806-678-0089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT31522255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer