Individual
MR. GREGORY SPENCE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
700 N 2ND ST, ASHTON, ID 83420-5105
(208) 359-9570
(208) 359-9580
Mailing address
36 PROFESSIONAL PLZ STE 110, REXBURG, ID 83440-2049
(082) 359-9570
(208) 359-9580
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT-1725
ID
225100000X
Physical Therapist
Primary
1725
NV
Other
Enumeration date
04/04/2006
Last updated
06/24/2022
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