Organization
BARNES PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR GEORGE BARNES DPT (DOCTOR OF PHYSICAL THERAPY)
(208) 681-3757
Entity
Organization
Contact information
Practice address
1250 W BRIDGE ST, BLACKFOOT, ID 83221-5095
(208) 681-3757
Mailing address
286 WILLIS ST, BLACKFOOT, ID 83221-3362
(208) 681-3757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3009
ID
Other
Enumeration date
06/26/2012
Last updated
09/17/2012
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