Provider Demographics
NPI:1497275754
Name:WEST, BROOKS JOSEPH (PT)
Entity Type:Individual
Prefix:
First Name:BROOKS
Middle Name:JOSEPH
Last Name:WEST
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:972-799-0236
Mailing Address - Fax:903-221-9093
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:972-799-0236
Practice Address - Fax:903-221-9093
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
TX12963622251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic