Provider Demographics
NPI:1396633848
Name:BREIER, STEWART (LMT)
Entity type:Individual
Prefix:MR
First Name:STEWART
Middle Name:
Last Name:BREIER
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7214 SHORELINE DR UNIT 181
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-4929
Mailing Address - Country:US
Mailing Address - Phone:858-750-5725
Mailing Address - Fax:858-750-5725
Practice Address - Street 1:7214 SHORELINE DR UNIT 181
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-4929
Practice Address - Country:US
Practice Address - Phone:858-750-5725
Practice Address - Fax:858-750-5725
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72006225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist