Provider Demographics
NPI:1962176297
Name:NEWELL, DARAH LEA (MA, LAT, ATC)
Entity type:Individual
Prefix:
First Name:DARAH
Middle Name:LEA
Last Name:NEWELL
Suffix:
Gender:F
Credentials:MA, LAT, ATC
Other - Prefix:
Other - First Name:DARAH
Other - Middle Name:LEA
Other - Last Name:MCINTURF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LAT, ATC
Mailing Address - Street 1:2608 35TH ST E
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-2647
Mailing Address - Country:US
Mailing Address - Phone:740-221-0724
Mailing Address - Fax:
Practice Address - Street 1:1201 COLISEUM DRIVE
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401
Practice Address - Country:US
Practice Address - Phone:205-348-5832
Practice Address - Fax:205-348-4419
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16442081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine