Provider Demographics
NPI:1558697888
Name:NEFF, DEBBIE A (MSPT, CLT)
Entity Type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:A
Last Name:NEFF
Suffix:
Gender:F
Credentials:MSPT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 MEDICAL CIR
Mailing Address - Street 2:ST. CLAIRE REGIONAL MEDICAL CENTER
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-1179
Mailing Address - Country:US
Mailing Address - Phone:606-783-7694
Mailing Address - Fax:606-783-6778
Practice Address - Street 1:1028 E MAIN ST
Practice Address - Street 2:ST. CLAIRE REGIONAL MEDICAL OUTPATIENT CENTER
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-1328
Practice Address - Country:US
Practice Address - Phone:606-783-6919
Practice Address - Fax:606-783-6629
Is Sole Proprietor?:No
Enumeration Date:2009-10-21
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPT004800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist