JUDY CAROLYN BREWER (NPI# 1366455867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366455867 |
| Entity Type | Individual |
| Full Name | JUDY CAROLYN BREWER |
| Practice Address |
117 Willard St Fayetteville TN 37334-3041 |
| Mailing Address |
111 Medium Cemetery Rd Petersburg TN 37144-7802 |
| Practice Telephone | 9314388299 |
| Mailing Telephone | 9314388299 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2665 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
117 WILLARD ST |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| Find all providers in zip 37334 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948855 | Danielle Kringlie | Massage Therapist | 921 Old Hunt Pl, Fayetteville, NC 28314-6073 | 2020-10-07 |
| 1871100222 | Christopher Calvin | Massage Therapist | 147 Banks Sta, Fayetteville, GA 30214-7504 | 2020-09-29 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1013529957 | Sonja Renee Gibson | Massage Therapist | 275 Glynn St S, Fayetteville, GA 30214-2015 | 2020-08-21 |
| 1194337345 | Natalie Spencer | Massage Therapist | 3037 Boone Trail Ext Ste G, Fayetteville, NC 28304-3859 | 2020-08-19 |
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1942834007 | Reds of Fayetteville, LLC | Massage Therapist | 1534 Purdue Dr, Fayetteville, NC 28303-5416 | 2020-02-27 |
| 1225662430 | Tracy Renfro | Massage Therapist | 3015 Kingfisher Dr, Fayetteville, NC 28306-9189 | 2020-02-26 |
| 1568011120 | Lacana N Tenn | Massage Therapist | 106 New Hope Rd, Fayetteville, GA 30214-1360 | 2019-09-06 |
| 1114589645 | Prima Elements, LLC | Massage Therapist | 124 Anderson St, Fayetteville, NC 28301-5014 | 2019-07-04 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
Please comment or provide details below to improve the information on JUDY CAROLYN BREWER.
| 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.