Provider Demographics
NPI:1811387699
Name:CLATTERBAUGH, BARBARA E (MPT, MSHA)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:E
Last Name:CLATTERBAUGH
Suffix:
Gender:F
Credentials:MPT, MSHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:663 SUNSET LN
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3919
Mailing Address - Country:US
Mailing Address - Phone:540-547-3649
Mailing Address - Fax:
Practice Address - Street 1:663 SUNSET LN
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3919
Practice Address - Country:US
Practice Address - Phone:540-825-5368
Practice Address - Fax:540-829-0937
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202265225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic