Organization
BARNES PHYSICAL THERAPY, LLC
Active
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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