Provider Demographics
NPI:1346667714
Name:MIMS, BRITTNEY BARNETT (DPT)
Entity Type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:BARNETT
Last Name:MIMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:BRITTNEY
Other - Middle Name:ELIZABETH
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:127 EDINBOROUGH CIR
Mailing Address - Street 2:APARTMENT 8
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-1340
Mailing Address - Country:US
Mailing Address - Phone:251-447-4708
Mailing Address - Fax:
Practice Address - Street 1:1530 PARKWAY
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-4027
Practice Address - Country:US
Practice Address - Phone:251-447-4708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6773225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist