Provider Demographics
NPI:1821041443
Name:MCNEELY, CATHY WRENN (PT)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:WRENN
Last Name:MCNEELY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:JAMES
Other - Middle Name:LESTER
Other - Last Name:MCNEELY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1647
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35807-0647
Mailing Address - Country:US
Mailing Address - Phone:256-509-4398
Mailing Address - Fax:800-317-4728
Practice Address - Street 1:802 SHONEY DR SW STE C
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5435
Practice Address - Country:US
Practice Address - Phone:256-509-4398
Practice Address - Fax:800-317-4728
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH1323225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist