Provider Demographics
NPI:1962629451
Name:HEMPHILL, JOEL CHRISTOPHER (PT)
Entity Type:Individual
Prefix:MR
First Name:JOEL
Middle Name:CHRISTOPHER
Last Name:HEMPHILL
Suffix:
Gender:M
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:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:VA
Mailing Address - Zip Code:20116-0027
Mailing Address - Country:US
Mailing Address - Phone:540-364-4001
Mailing Address - Fax:
Practice Address - Street 1:19840 FOGGY BOTTOM RD
Practice Address - Street 2:
Practice Address - City:BLUEMONT
Practice Address - State:VA
Practice Address - Zip Code:20135-2125
Practice Address - Country:US
Practice Address - Phone:540-364-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305004919225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist