Provider Demographics
NPI:1598968943
Name:CLENNEY, VALERIE JEANETTE (PT)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:JEANETTE
Last Name:CLENNEY
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 1:8 CONE RD
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32327-0148
Mailing Address - Country:US
Mailing Address - Phone:850-926-8095
Mailing Address - Fax:850-926-8095
Practice Address - Street 1:8 CONE RD
Practice Address - Street 2:
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327-0148
Practice Address - Country:US
Practice Address - Phone:850-926-8095
Practice Address - Fax:850-926-8095
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 19006225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist