Individual
CHANEL BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 31ST ST APT 1305, TUSCALOOSA, AL 35401-7254
(317) 771-2192
Mailing address
800 31ST ST APT 1305, TUSCALOOSA, AL 35401-7254
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
AL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AL
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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