Healthcare Provider Details

I. General information

NPI: 1730695826
Provider Name (Legal Business Name): JAMEYA ANEDRA BARNWELL RKT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2017
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 BRENNER AVE
SALISBURY NC
28144-2515
US

IV. Provider business mailing address

1601 BRENNER AVE BLDG 7
SALISBURY NC
28144-2515
US

V. Phone/Fax

Practice location:
  • Phone: 800-706-9126
  • Fax:
Mailing address:
  • Phone: 704-638-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number1931
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: