KELLY BROCK


Address: 567 N 5th St, Terre Haute, IN 47809-1903
Phone: 8122372378

KELLY BROCK (NPI# 1992100275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992100275
Entity Type Individual
Full Name KELLY BROCK
Credential LAT, ATC
Practice Address 567 N 5th St
Terre Haute
IN 47809-1903
Practice Telephone 8122372378
Enumeration Date 2014-10-28
Last Update Date 2014-10-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
36002335A IN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KELLY BROCK

NPI Name Taxonomy Address Enumeration
1992324578 Kelly Brock Nutritionist 1 Ireland Pl, Amityville, NY 11701-2955 2020-04-13
1730531047 Kelly Brock Behavioral Analyst 35 Revere Rd, Queensbury, NY 12804-8044 2016-07-11
1558679837 Kelly Brock Pharmacist 1312 Olwyn Dr, Tustin, CA 92780-3834 2010-09-20
1891971339 Kelly Brock Licensed Practical Nurse 345 Elmwood Ter, Rochester, NY 14620-3707 2008-01-15
1184198871 Kelly Brock Occupational Therapist 6700 France Ave S Ste 300, Edina, MN 55435-1908 2019-01-15
1588185060 Kelly Brock Community/Behavioral Health 470 Main St, Mashpee, MA 02649-2047 2017-07-05
1043663818 Kelly Brock Physician Assistant 2350 N Lake Dr, Suite 206, Milwaukee, WI 53211-4528 2016-07-18
1922438894 Kelly Brock Counselor 77 E Merrimack St, Lowell, MA 01852-1251 2013-11-13
1316001134 Kelly Koga Brock Physical Therapist 270 International Cir # Twon, Physical Therapy, San Jose, CA 95119-1130 2006-12-20

Office Location

Street Address 567 N 5TH ST
City TERRE HAUTE
State IN
Zip Code 47809-1903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477705259 Lynn Rae Kellett Nurse Practitioner 567 N 5th St, Terre Haute, IN 47809-1903 2008-10-13
1134697295 Dylan Shelby Frazier Specialist/Technologist 567 N 5th St, Terre Haute, IN 47809-3358 2018-11-07
1114410750 Justin Michael Applegate Physical Therapist 567 N 5th St, Terre Haute, IN 47809 2018-06-08
1629566252 Samantha M Polson Specialist/Technologist 567 N 5th St, Terre Haute, IN 47809-1903 2018-04-30
1205341906 Lauren Virginia Cox Specialist/Technologist 567 N 5th St, Terre Haute, IN 47809-1903 2017-12-05
1174050769 Brittney Marie Millspaugh Storms Physical Medicine & Rehabilitation 567 N 5th St, Terre Haute, IN 47809-1903 2017-05-15
1811421837 Melissa Ericson Specialist/Technologist 567 N 5th St, Terre Haute, IN 47809-1903 2017-04-17
1326588997 Union Associated Physicians Clinic, LLC Family Medicine 567 N 5th St, Terre Haute, IN 47809-1903 2017-03-02
1164973376 Chelsey Marie Toney Student in an Organized Health Care Education/Training Program 567 N 5th St, Terre Haute, IN 47809-1903 2016-10-23
1336592922 Jamie Nikander Specialist/Technologist 567 N 5th St, Terre Haute, IN 47809-1903 2016-07-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699291658 Shunnosuke Hayashi Specialist/Technologist 567 N 5th Street, Scwam 257, Terre Haute, IN 47809 2017-08-21
1730502386 Joseph Rosauer Specialist/Technologist 567 N 5th Street, Sycamore Center for Health and Wellness, Terre Haute, IN 47809 2014-01-31
1063612257 Indiana State University Clinic/Center 567 N 5th St., Terre Haute, IN 47809 2007-07-25
1104851831 Megan Eileen Tucker Genetic Counselor, MS 600 Chestnut St., Science 277, Indiana State University, Terre Haute, IN 47809 2006-07-11
1639626732 Zoe Lindsley Specialist/Technologist 168 Lincoln Quads, Terre Haute, IN 47809-0001 2016-09-06
1174889349 Shanice Johnson Specialist/Technologist Wellness and Applied Medicine Rm 201 5th St, Terre Haute, IN 47809-0001 2012-04-02
1164702452 Janis Leigh Psychologist Indiana State University Psycholog Clinic, Root Hall, Terre Haute, IN 47809-0001 2011-08-18
1447566013 David John Dziedzicki Specialist/Technologist Student Services Building Rm 201, Terre Haute, IN 47809-0001 2010-08-20
1487813028 Mary Catherine Tucker Counselor 1511 College of Education, Indiana State University, Terre Haute, IN 47809-0001 2008-06-09
1023298106 Benjamin Bradford Fraser Specialist/Technologist Athletic Training Department C-06, Indiana State University, Terre Haute, IN 47809-0001 2007-11-06
Find all providers in zip 47809

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417421793 Kimberly Ann White Specialist/Technologist 605 Oak Dr, Terre Haute, IN 47803-2337 2019-01-19
1104309624 Jennifer E Meyer Specialist/Technologist 868 Champlain Ct Apt M, Terre Haute, IN 47803-4250 2018-09-11
1215435243 Margaret Kyle Specialist/Technologist 6360 E Old Maple Ave, Terre Haute, IN 47803-9524 2018-01-24
1942711270 Azumi Koyama Specialist/Technologist 1435 S Center St, Terre Haute, IN 47802-1121 2017-10-13
1699291658 Shunnosuke Hayashi Specialist/Technologist 567 N 5th Street, Scwam 257, Terre Haute, IN 47809 2017-08-21
1174047880 Ariane Alisabeth Clarissa Bell Specialist/Technologist 1206 S 18th Street, Terre Haute, IN 47803-4780 2017-08-03
1326578931 Ian Nicholas Bostock Specialist/Technologist 1113 North 8th Street, Terre Haute, IN 47807 2017-06-15
1902336936 Heather Lynn Pilch Specialist/Technologist 2225 Stone Creek Ln, Terre Haute, IN 47802-5438 2017-06-13
1568992592 Jessica L Montoya Specialist/Technologist 6538 Allendale Blvd, Terre Haute, IN 47802-4794 2017-06-13
1770012866 Taylor Rayl Smith Specialist/Technologist 1113 N 8th St, Terre Haute, IN 47807-1517 2017-06-12
Find all providers in TERRE HAUTE

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City TERRE HAUTE
Zip Code 47809

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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