Provider Demographics
NPI:1437339801
Name:SHARE, DARCY LEMAITRE (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:DARCY
Middle Name:LEMAITRE
Last Name:SHARE
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9101 MOUNTAIN SHADE DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-7439
Mailing Address - Country:US
Mailing Address - Phone:423-485-8875
Mailing Address - Fax:
Practice Address - Street 1:9101 MOUNTAIN SHADE DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-7439
Practice Address - Country:US
Practice Address - Phone:423-485-8875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6915225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist