Provider Demographics
NPI:1134960669
Name:HOUGHT, BROOKE JOSEPHINE (DPT)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:JOSEPHINE
Last Name:HOUGHT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:JOSEPHINE
Other - Last Name:VAN OVERBEKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:248 WEGENER DR
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:MN
Mailing Address - Zip Code:56520-1010
Mailing Address - Country:US
Mailing Address - Phone:651-263-6550
Mailing Address - Fax:
Practice Address - Street 1:112 5TH ST SW
Practice Address - Street 2:
Practice Address - City:HANKINSON
Practice Address - State:ND
Practice Address - Zip Code:58041-4417
Practice Address - Country:US
Practice Address - Phone:701-242-7323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND2689225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist