Provider Demographics
NPI:1023893807
Name:GRIFFIN, SKYLAR BELTON (DPT)
Entity type:Individual
Prefix:DR
First Name:SKYLAR
Middle Name:BELTON
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3125 INDEPENDENCE DR STE 300B
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4168
Mailing Address - Country:US
Mailing Address - Phone:205-263-2770
Mailing Address - Fax:205-263-0994
Practice Address - Street 1:8011 LIBERTY PKWY STE 111
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35242-7670
Practice Address - Country:US
Practice Address - Phone:205-383-1000
Practice Address - Fax:205-891-8833
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH11534225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist