MRS. SHENAY MARVETTA DEWBERRY ATC - NPI 1629027735

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About Mrs. Shenay Marvetta Dewberry Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHENAY MARVETTA DEWBERRY ATC (NPI 1629027735) is an individual specialist in Saint Louis, Missouri, licensed in Missouri (2004027845) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1629027735

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. SHENAY MARVETTA DEWBERRYCredential: ATC

Location Address1300 HAMPTON AVESaint Louis, MO 63139-3163

Mailing Address2820 Liberty Landing CtFlorissant, MO 63033-7617 · (314) 630-8062 · Fax (314) 434-6066

Phone(314) 434-6060

Fax(314) 434-6066

Sole ProprietorNo

Enumeration DateMay 8, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1629027735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MO · 2004027845

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1300 HAMPTON AVE, Saint Louis, MO 63139

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