Doctor Name: | MRS. SHELLY WHISENHUNT BARBER |
NPI Number: | 1740457191 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 4815 |
Business Practice Address: | 123 Bentwood Dr Inman, SC - 293499055 |
Business Phone Number: | 8642780483 |
Business Fax Number: | |
Mailing Address: | 123 Bentwood Dr, INMAN |
State: | SC |
Postal Code: | 293499055 |
Phone Number: | 8642780483 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2008 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 4815 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |