Provider Demographics
NPI:1679393987
Name:FARMER, LIBBY JO (DPT)
Entity type:Individual
Prefix:
First Name:LIBBY
Middle Name:JO
Last Name:FARMER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 GREEN HILL DR
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-5224
Mailing Address - Country:US
Mailing Address - Phone:731-363-5936
Mailing Address - Fax:
Practice Address - Street 1:1023 MINERAL WELLS AVE STE E
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-4938
Practice Address - Country:US
Practice Address - Phone:731-333-3306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist