Provider Demographics
NPI:1669349510
Name:HALLETT, TERRI ANN
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:ANN
Last Name:HALLETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-3076
Mailing Address - Country:US
Mailing Address - Phone:540-316-2680
Mailing Address - Fax:540-316-2681
Practice Address - Street 1:253 VETERANS DR
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3076
Practice Address - Country:US
Practice Address - Phone:540-316-2680
Practice Address - Fax:540-316-2681
Is Sole Proprietor?:No
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305005592208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation