Provider Demographics
NPI:1124313507
Name:BARNEY, MATTHEW BRIAN (DPT)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:BRIAN
Last Name:BARNEY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 N 400 W
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84701-2032
Mailing Address - Country:US
Mailing Address - Phone:435-633-5383
Mailing Address - Fax:
Practice Address - Street 1:1565 N UT-118
Practice Address - Street 2:
Practice Address - City:SIGURD
Practice Address - State:UT
Practice Address - Zip Code:84657
Practice Address - Country:US
Practice Address - Phone:435-633-5383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7927817-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist