Jannea Marie Brewer, LMT
Individual provider Active NPI Massage Therapist · Eagle River, AK
NPI 1467087213 · NPPES record last updated Mar 11, 2020
Key facts
- NPI
- 1467087213
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 116576 (AK)
- Practice address
- 12001 Business Blvd
Eagle River, AK 99577-7743 - Phone
- (907) 694-6677
- NPI assigned
- Mar 11, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116576 | AK | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 116576 | AK | Yes |
Addresses
Primary practice location
12001 Business Blvd
Eagle River, AK 99577-7743
Mailing address
11432 Heritage CT Apt 4
Eagle River, AK 99577-7703
Phone (907) 671-8158
Other providers in Eagle River, AK
- Dara Rebecca Brann
- Kierra Brecht
- Amy Brendtro
- Cathy Jane Brenner
- David Whitfield Brenner
- Britton Diabetes & Nutrition LLC
- Rebecca Brooks
- Megan Brown
- Stacey D Brown
- Caryn Brunello
All providers in Eagle River, AK · Massage Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2020. 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.