Provider Demographics
NPI:1427827104
Name:WOODRUFF, SHELBI (DPT)
Entity type:Individual
Prefix:
First Name:SHELBI
Middle Name:
Last Name:WOODRUFF
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ROUX 61 DR S STE D
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-2197
Mailing Address - Country:US
Mailing Address - Phone:601-442-3240
Mailing Address - Fax:601-445-9032
Practice Address - Street 1:1400 HIGHWAY 65
Practice Address - Street 2:
Practice Address - City:FERRIDAY
Practice Address - State:LA
Practice Address - Zip Code:71334-5010
Practice Address - Country:US
Practice Address - Phone:318-757-1881
Practice Address - Fax:318-757-1616
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11718225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist