Provider Demographics
NPI:1326206756
Name:STINNETT, CARRIE ELLEN (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:ELLEN
Last Name:STINNETT
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 TOWNE CRIER RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-3917
Mailing Address - Country:US
Mailing Address - Phone:434-221-4640
Mailing Address - Fax:
Practice Address - Street 1:302 TOWNE CRIER RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-3917
Practice Address - Country:US
Practice Address - Phone:434-221-4640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306602119225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant