Provider Demographics
NPI:1982833190
Name:BREWER, LINDSEY ANNE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:ANNE
Last Name:BREWER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 CLOVERDALE CIR
Mailing Address - Street 2:APT 810
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4487
Mailing Address - Country:US
Mailing Address - Phone:931-980-5264
Mailing Address - Fax:
Practice Address - Street 1:1630 MCCALLIE AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-3021
Practice Address - Country:US
Practice Address - Phone:423-698-5590
Practice Address - Fax:423-698-5519
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8387225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist