Brown, Katie Brooks

Brown, Katie Brooks is an individual health care provider with primary practice located at 851 Professional Park Dr , Clarksville TN 37040-5257. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Brown, Katie Brooks can be contacted via phone (615) 542-2168.

Contact Information

Primary practice address
851 Professional Park Dr Clarksville TN 37040-5257
Phone: (615) 542-2168
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 5436 Tennessee

Profile Details

NPI number 1669821021
LBN Legal business name Brown, Katie Brooks
Credentials OTD, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2016
Last updated May 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669821021 NPPES
Tennessee MEDICAID Q021921

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