Alivia Brown

Individual provider Active NPI Physical Therapy Assistant · Humboldt, TN

NPI 1366010241 · NPPES record last updated Apr 7, 2026

Key facts

NPI
1366010241
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
7539 (TN)
Practice address
3525 Chere Carol Rd
Humboldt, TN 38343-3636
Phone
(731) 824-5551
Fax
(731) 824-5568
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 7539 TN Yes

Addresses

Primary practice location

3525 Chere Carol Rd
Humboldt, TN 38343-3636

Mailing address

257 Bancorp South Pkwy
Jackson, TN 38305-7582
Phone (731) 660-8781

Other providers in Humboldt, TN

All providers in Humboldt, TN · Physical Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.