MEDICARE: DR. BARBARA L MCCARY PT, DPT

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	723	TN

General Provider Information

NPI Number	:	1154451110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA L MCCARY PT, DPT

Provider Business Mailing Address
First Line	:	1259 LINVILLE ST
Second Line	:
City	:	KINGSPORT
State	:	TN
Zip	:	37660-4512
Country	:	US
Telephone Number	:	423-378-5248
Fax Number	:

Provider Business Practice Location Address
First Line	:	2971 FORT HENRY DR
Second Line	:
City	:	KINGSPORT
State	:	TN
Zip	:	37664-4005
Country	:	US
Telephone Number	:	423-230-8456
Fax Number	:	423-230-8496

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	07/08/2007

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