Provider Demographics
NPI:1184840233
Name:SHEFFIELD, GROVER LEE (PT)
Entity Type:Individual
Prefix:MR
First Name:GROVER
Middle Name:LEE
Last Name:SHEFFIELD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:793 GABLE DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35215-2868
Mailing Address - Country:US
Mailing Address - Phone:205-401-7564
Mailing Address - Fax:
Practice Address - Street 1:793 GABLE DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35215-2868
Practice Address - Country:US
Practice Address - Phone:205-401-7564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist