Provider Demographics
NPI:1457246746
Name:BROOKS, KASSIDY (DC)
Entity type:Individual
Prefix:
First Name:KASSIDY
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 E PINECREST DR
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75670-7355
Mailing Address - Country:US
Mailing Address - Phone:903-938-0050
Mailing Address - Fax:903-938-8081
Practice Address - Street 1:1203 E PINECREST DR
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-7355
Practice Address - Country:US
Practice Address - Phone:903-938-0050
Practice Address - Fax:903-938-8081
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC317608111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor