Provider Demographics
NPI:1639516362
Name:BROWN, AMBER NIKOLE (,PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:NIKOLE
Last Name:BROWN
Suffix:
Gender:F
Credentials:,PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8105 RASOR BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0267
Mailing Address - Country:US
Mailing Address - Phone:469-717-0329
Mailing Address - Fax:469-717-0327
Practice Address - Street 1:8105 RASOR BLVD STE 304
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0267
Practice Address - Country:US
Practice Address - Phone:469-717-0329
Practice Address - Fax:469-717-0327
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12302072251X0800X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No374J00000XNursing Service Related ProvidersDoula