Provider Demographics
NPI:1437133279
Name:HAUGHEY, BARBARA D (PT)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:D
Last Name:HAUGHEY
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 1:701 E ROOSEVELT BLVD
Mailing Address - Street 2:STE 200-A
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-5170
Mailing Address - Country:US
Mailing Address - Phone:704-289-4595
Mailing Address - Fax:704-220-1005
Practice Address - Street 1:701 E ROOSEVELT BLVD
Practice Address - Street 2:STE 200-A
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5170
Practice Address - Country:US
Practice Address - Phone:704-289-4595
Practice Address - Fax:704-220-1005
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8185225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2507550Medicare ID - Type Unspecified