Individual
JANI L BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
302 US HIGHWAY 68 W, BENTON, KY 42025
(270) 252-7600
(270) 252-7602
Mailing address
302 US HIGHWAY 68 W, BENTON, KY 42025-9499
(270) 252-7600
(270) 252-7602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100371360
—
KY
Enumeration date
01/22/2008
Last updated
06/16/2022
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