Provider Demographics
NPI:1376936344
Name:STONE, BRITTANY (MS, ATC, SCAT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:MS, ATC, SCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2746 FLUSHING COVEY DR
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-8089
Mailing Address - Country:US
Mailing Address - Phone:214-799-9598
Mailing Address - Fax:
Practice Address - Street 1:300 E COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-3742
Practice Address - Country:US
Practice Address - Phone:843-383-8390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14262255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer