Provider Demographics
NPI:1326160839
Name:HACK-SNEARY, DEBRA (PT)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:
Last Name:HACK-SNEARY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3314 ROBERT FULLER DR
Mailing Address - Street 2:
Mailing Address - City:TUNNEL HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30755-9366
Mailing Address - Country:US
Mailing Address - Phone:706-673-3466
Mailing Address - Fax:
Practice Address - Street 1:201 E TYLER ST
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-2802
Practice Address - Country:US
Practice Address - Phone:706-876-3914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000913225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist