Carmela Victoria Brewer, DPT
Individual provider Active NPI Physical Therapist · Clarksdale, MS
NPI 1760710461 · NPPES record last updated Nov 18, 2009
Key facts
- NPI
- 1760710461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4439 (MS)
- Practice address
- 1970 Hospital Dr
Clarksdale, MS 38614-7202 - Phone
- (662) 624-3569
- Fax
- (662) 621-5032
- NPI assigned
- Nov 18, 2009
- 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 |
|---|---|---|---|
| 4439 | MS | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4439 | MS | Yes |
Addresses
Primary practice location
1970 Hospital Dr
Clarksdale, MS 38614-7202
Mailing address
1970 Hospital Dr
Clarksdale, MS 38614-7202
Phone (662) 624-3569
Other providers in Clarksdale, MS
- Rachel Jennifer Bouer
- Kathryn Morrison Boykin
- Chad Jeremy Braddock
- Lashonda Lashay Bradley
- Bennie P Braggs
- Brookhaven Medical Center
- Nathaniel Brooks
- Billy James Brown
- Gerald Brown
- Sharma Brown
All providers in Clarksdale, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2009. 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.