Provider Demographics
NPI:1083680995
Name:DECKER VEAL, MONICA LISETTE (ATC)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:LISETTE
Last Name:DECKER VEAL
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 BARIWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-3000
Mailing Address - Country:US
Mailing Address - Phone:205-345-6717
Mailing Address - Fax:
Practice Address - Street 1:THE UNIVERSITY OF ALABAMA
Practice Address - Street 2:323 PAUL BEAR BRYANT DRIVE
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35487-0001
Practice Address - Country:US
Practice Address - Phone:205-348-5348
Practice Address - Fax:205-348-4419
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5712255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer