Provider Demographics
NPI:1023263803
Name:ROOKS, ROSALIND A (LMT)
Entity type:Individual
Prefix:MRS
First Name:ROSALIND
Middle Name:A
Last Name:ROOKS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 FOX TRL
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2146
Mailing Address - Country:US
Mailing Address - Phone:254-449-8873
Mailing Address - Fax:
Practice Address - Street 1:4400-2 E CENTX EXPWY
Practice Address - Street 2:B
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-7373
Practice Address - Country:US
Practice Address - Phone:254-449-8873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT045589225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist