Craig Wright Brooks Iii, | |
104 Oxford St, Martin, TN 38237-2428 | |
(731) 587-3422 | |
Not Available |
Full Name | Craig Wright Brooks Iii |
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Gender | Male |
Speciality | Physical Therapist |
Location | 104 Oxford St, Martin, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780377531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 15003 (Tennessee) | Primary |
Provider Name | Agilitas Usa Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20041115000337 |
Provider Name | Dynamix Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669619268 PECOS PAC ID: 5193873933 Enrollment ID: O20090504000677 |
Mailing Address | Practice Location Address |
---|---|
Craig Wright Brooks Iii, 100 Goodrich Ct, Smyrna, TN 37167-6473 Ph: (615) 967-1025 | Craig Wright Brooks Iii, 104 Oxford St, Martin, TN 38237-2428 Ph: (731) 587-3422 |
Jacqueline Cultra Gilliam, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 904 Templeton Rd, Martin, TN 38237 Phone: 731-588-0814 Fax: 731-587-5012 | |
Mr. Wesley Russell Yates, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 | |
Mrs. Linda A Nethery, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 | |
Mr. Brian Wray Smith, PHYSICAL THERAPIST Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 | |
The Sideline Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 | |
Mr. Richard Mata Abad, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 118 Forest Dr., Martin, TN 38237 Phone: 931-232-4555 | |
Mrs. Janie West, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Oxford St, Martin, TN 38237 Phone: 731-587-3422 Fax: 731-587-3424 |