Healthcare Provider Details

I. General information

NPI: 1053225268
Provider Name (Legal Business Name): BECKY LOUISE NEATHERY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BECKY LOUISE SWINK

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2409 HOMER CLAYTON DRIVE
GUNTERSVILLE AL
35976
US

IV. Provider business mailing address

2409 HOMER CLAYTON DRIVE
GUNTERSVILLE AL
35976
US

V. Phone/Fax

Practice location:
  • Phone: 256-582-3203
  • Fax: 256-582-3216
Mailing address:
  • Phone: 256-582-3203
  • Fax: 256-582-3216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: