Provider Demographics
NPI:1649701848
Name:SHEAGLEY, BRITTANY ANN (PT, DPT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:SHEAGLEY
Suffix:
Gender:F
Credentials:PT, DPT
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 831
Mailing Address - Street 2:
Mailing Address - City:TRYON
Mailing Address - State:NC
Mailing Address - Zip Code:28782-0831
Mailing Address - Country:US
Mailing Address - Phone:719-250-6634
Mailing Address - Fax:
Practice Address - Street 1:336 ROCKWOOD RD STE 107
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-8617
Practice Address - Country:US
Practice Address - Phone:719-250-6634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-21
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16872225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist