Individual
MARY BETH HOLBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1328 N WEINBACH AVE, EVANSVILLE, IN 47711-4307
(812) 550-6789
Mailing address
97 SHAMROCK DR, MADISONVILLE, KY 42431-9178
(812) 629-5857
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004613A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700183000
—
KY
01
—
K005560
TRICARE
KY
01
—
POO332298
RR MEDICARE
KY
Enumeration date
07/29/2005
Last updated
04/14/2026
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