Jessica Barker, PTA
Individual provider Active NPI Physical Therapy Assistant · Moses Lake, WA
NPI 1053737601 · NPPES record last updated Mar 6, 2014
Key facts
- NPI
- 1053737601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- P1 60242042 (WA)
- Practice address
- 525 S Sandalwood PL
Moses Lake, WA 98837-9148 - Phone
- (208) 716-1366
- Fax
- (509) 488-0818
- NPI assigned
- Mar 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1 60242042 | WA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | P1 60242042 | WA | Yes |
Addresses
Primary practice location
525 S Sandalwood PL
Moses Lake, WA 98837-9148
Mailing address
525 S Sandalwood PL
Moses Lake, WA 98837-9148
Phone (208) 716-1366
Other providers in Moses Lake, WA
- Gisela Badillo
- Kim A Bailey
- Lisa Renee Ballard
- Nancy Kathrynn Banks
- Stephanie Noreen Bannon
- Ivy Jayne Barnard
- Blair Mercer Barnett
- Madison M Barrientoz
- Basin Family Chiropractic P S
- Basin Foot & Ankle PS
All providers in Moses Lake, WA · Physical Therapy Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.