Individual
BRYAN THOMAS BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001-8759
(928) 226-6400
Mailing address
1200 N BEAVER ST, ATTN: PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1105276
KS
225100000X
Physical Therapist
134506
TX
225100000X
Physical Therapist
Primary
LPT-32979
AZ
Other
Enumeration date
07/01/2014
Last updated
08/22/2023
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