Provider Demographics
NPI:1487713251
Name:DOSTER, BARBARA HUNNICUTT (PT, MHDL)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:HUNNICUTT
Last Name:DOSTER
Suffix:
Gender:F
Credentials:PT, MHDL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 SUTTON PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-2088
Mailing Address - Country:US
Mailing Address - Phone:828-696-0832
Mailing Address - Fax:828-696-0832
Practice Address - Street 1:115 SUTTON PL
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-2088
Practice Address - Country:US
Practice Address - Phone:828-696-0832
Practice Address - Fax:828-696-0832
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC481225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7201028Medicaid