Provider Demographics
NPI:1457148074
Name:BREWER, TERESA LITTLE
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:LITTLE
Last Name:BREWER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 COUNTY ROAD 61
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35634-2562
Mailing Address - Country:US
Mailing Address - Phone:256-349-2144
Mailing Address - Fax:
Practice Address - Street 1:623 COUNTY ROAD 61
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35634-2562
Practice Address - Country:US
Practice Address - Phone:256-349-2144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6118225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist