Provider Demographics
NPI:1982973087
Name:BROOKES, ROB ALAN (ATC)
Entity type:Individual
Prefix:
First Name:ROB
Middle Name:ALAN
Last Name:BROOKES
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1769 MANNING DR APT C
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-8824
Mailing Address - Country:US
Mailing Address - Phone:315-244-4447
Mailing Address - Fax:
Practice Address - Street 1:FT. CAMPBELL
Practice Address - Street 2:101ST AIRBORNE DIV 2MBCT
Practice Address - City:FT. CAMPBELL
Practice Address - State:KY
Practice Address - Zip Code:42222
Practice Address - Country:US
Practice Address - Phone:315-244-4447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAT9842255A2300X
TN2255A2300X
KYAT22822255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer