Provider Demographics
NPI:1316526189
Name:BREWSTER, LINDSEY JONES (OTR)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:JONES
Last Name:BREWSTER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 HIGHWAY 321 N STE B
Mailing Address - Street 2:
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37771-6424
Mailing Address - Country:US
Mailing Address - Phone:865-986-5644
Mailing Address - Fax:865-986-9109
Practice Address - Street 1:950 HIGHWAY 321 N STE B
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37771-6424
Practice Address - Country:US
Practice Address - Phone:865-986-5644
Practice Address - Fax:865-986-9109
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6786225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist