MEDICARE: BARBARA SHEFFIELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	22044	OTHER	FL	LICENSE#

General Provider Information

NPI Number	:	1487868147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA SHEFFIELD

Provider Business Mailing Address
First Line	:	437 MORGANS TRL
Second Line	:
City	:	SANTA ROSA BEACH
State	:	FL
Zip	:	32459-8914
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1008 AIRPORT RD STE A
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32541-2822
Country	:	US
Telephone Number	:	850-837-3349
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	07/08/2007

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Directions to “ BARBARA SHEFFIELD ” Practice Location

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