Provider Demographics
NPI:1982370185
Name:BROOKS, ADRIEN ROBIN TRENT (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ADRIEN
Middle Name:ROBIN TRENT
Last Name:BROOKS
Suffix:
Gender:M
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 1:1539 CHEYENNE DR
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-4303
Mailing Address - Country:US
Mailing Address - Phone:937-728-8670
Mailing Address - Fax:
Practice Address - Street 1:800 S HAM LN
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95242-3543
Practice Address - Country:US
Practice Address - Phone:209-368-7141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist