Provider Demographics
NPI:1326100181
Name:BAREFOOT, JOETTA FAUVER (PT, CWS)
Entity Type:Individual
Prefix:MRS
First Name:JOETTA
Middle Name:FAUVER
Last Name:BAREFOOT
Suffix:
Gender:F
Credentials:PT, CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2196 SPRING GROVE CT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-5318
Mailing Address - Country:US
Mailing Address - Phone:251-633-3779
Mailing Address - Fax:
Practice Address - Street 1:820 UNIVERSITY BLVD S
Practice Address - Street 2:SUITE 2A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-7858
Practice Address - Country:US
Practice Address - Phone:251-341-0707
Practice Address - Fax:251-341-4263
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4341225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist