Ida Caroline Brawner

NPI #1891537304 in Kingston Springs, Tennessee

Provider Information

NPI Number: 1891537304
Entity Type: Individual
Name: Ida Caroline Brawner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 7, 2024
Last Updated: Dec 18, 2025

Practice Location

Address: 111 W KINGSTON SPRINGS RD STE 102
City: Kingston Springs
State: Tennessee
ZIP Code: 37082-9121
Phone: (615) 412-1131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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