Provider Demographics
NPI:1285205492
Name:DISCOVER PHYSICAL THERAPY AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:DISCOVER PHYSICAL THERAPY AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BROOKS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:903-243-7704
Mailing Address - Street 1:8301 LAKEVIEW PKWY STE 107
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-1220
Mailing Address - Country:US
Mailing Address - Phone:903-243-7704
Mailing Address - Fax:
Practice Address - Street 1:8301 LAKEVIEW PKWY STE 107
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-1220
Practice Address - Country:US
Practice Address - Phone:903-243-7704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service