Individual
MR. MICHAEL STEVEN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT, OCS
Contact information
Practice address
111 DOCTORS DR, GREENVILLE, SC 29605-5622
(864) 999-4626
(864) 794-5434
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
SC
2251X0800X
Orthopedic Physical Therapist
PT015025
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86067T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/09/2006
Last updated
03/28/2024
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