Doctor Name: | ARTISE A BREWER |
NPI Number: | 1093961690 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5000 |
Business Practice Address: | 62 Warren St Roxbury, MA - 021193253 |
Business Phone Number: | 6174420111 |
Business Fax Number: | 6174420110 |
Mailing Address: | 9 Itasca St, Apt. 3 BOSTON |
State: | MA |
Postal Code: | 021261429 |
Phone Number: | 8579193895 |
Fax Number: | 6174420110 |
NPI Enumeration Date: | 08/14/2008 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 5000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |