Provider Demographics
NPI:1043284748
Name:BARKER, BRENT ARRINGTON (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:BRENT
Middle Name:ARRINGTON
Last Name:BARKER
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 N JAMES CAMPBELL BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-2756
Mailing Address - Country:US
Mailing Address - Phone:931-388-0620
Mailing Address - Fax:931-388-5533
Practice Address - Street 1:1040 N JAMES CAMPBELL BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-2756
Practice Address - Country:US
Practice Address - Phone:931-388-0620
Practice Address - Fax:931-388-5533
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1697225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN446631Medicare ID - Type UnspecifiedGROUP