Provider Demographics
NPI:1922192087
Name:BARRETT, SHELLEY S (DC)
Entity type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:S
Last Name:BARRETT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 W LINGLEVILLE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-1820
Mailing Address - Country:US
Mailing Address - Phone:254-968-5800
Mailing Address - Fax:254-968-5900
Practice Address - Street 1:1521 W LINGLEVILLE RD
Practice Address - Street 2:SUITE B
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401-1820
Practice Address - Country:US
Practice Address - Phone:254-968-5800
Practice Address - Fax:254-968-5900
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10392111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor