Individual ProviderMary Beth HolbrookPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1328 N Weinbach Ave, Evansville, IN 47711-4307(812) 550-6789(812) 629-5857PECOS EnrollmentBased on the most recent information from CMS, provider Mary Beth Holbrook does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1013917087Provider TypeIndividualFull NameHolbrook, Mary BethCredentialPTGenderFemaleSole ProprietorYesEnumeration Date7/29/2005Last Updated2/22/2025Contact InformationPractice LocationPractice Address1328 N Weinbach Ave, Evansville, IN 47711-4307Phone(812) 550-6789FaxUnlisted FaxMailing LocationMailing Address97 Shamrock Dr, Madisonville, KY 42431-9178Phone(812) 629-5857FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense05004613AIndianaProvider IdentifiersIDDescriptionIssuerID8700183000DescriptionMedicaidIssuerUnlistedKentuckyIDK005560DescriptionOtherIssuerTRICAREKentuckyIDPOO332298DescriptionOtherIssuerRR MEDICAREKentucky