Provider Demographics
NPI:1083381321
Name:SHREWSBURY, DAROLD III
Entity Type:Individual
Prefix:
First Name:DAROLD
Middle Name:
Last Name:SHREWSBURY
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 OLD HERMITAGE RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-6460
Mailing Address - Country:US
Mailing Address - Phone:540-448-0373
Mailing Address - Fax:
Practice Address - Street 1:201 OSAGE LN STE 3
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-9316
Practice Address - Country:US
Practice Address - Phone:540-943-0078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305214612225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist