Individual
JACK BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2620 EAGAN WOODS DR, EAGAN, MN 55121-1138
(651) 968-5201
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12068
MN
225100000X
Physical Therapist
15180-24
WI
Other
Enumeration date
03/09/2021
Last updated
04/16/2026
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