Provider Demographics
NPI:1508035601
Name:SEARCY, JAMES SHELBY (ATC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:SHELBY
Last Name:SEARCY
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 COUNTY ROAD 29
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36067-6945
Mailing Address - Country:US
Mailing Address - Phone:334-361-9711
Mailing Address - Fax:
Practice Address - Street 1:132 COUNTY ROAD 29
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36067-6945
Practice Address - Country:US
Practice Address - Phone:334-361-9711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0082255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer