Rada Brewer
Individual provider Active NPI Massage Therapist · Little River, SC
NPI 1124458989 · NPPES record last updated Nov 14, 2013
Key facts
- NPI
- 1124458989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 8949
- Practice address
- 3793 Parker PL
Little River, SC 29566-7815 - Phone
- (843) 685-7246
- NPI assigned
- Nov 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 8949 | Yes |
Addresses
Primary practice location
3793 Parker PL
Little River, SC 29566-7815
Mailing address
3793 Parker PL
Little River, SC 29566-7815
Phone (843) 685-7246
Other providers in Little River, SC
- April L. Blue
- Hans Ernst Blunck
- Chris Boggs
- Jacob William Boyd
- Melissa Channell Bradley
- Brittany Davis Britt
- Broadway Medical Innovation, LLC
- Olivia Grace Burdick
- Marlon G Burt
- Linda Buster
All providers in Little River, SC · Massage Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.