Susan E Barth, PT
Individual provider Active NPI Physical Therapist · Clarkston, MI
NPI 1124147616 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124147616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501012400 (MI)
- Practice address
- 5825 S Main St
Suite 103
Clarkston, MI 48346-2983 - Phone
- (248) 620-8980
- Fax
- (248) 620-9397
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 5501012400 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501012400 | MI | Yes |
Addresses
Primary practice location
5825 S Main St
Suite 103
Clarkston, MI 48346-2983
Mailing address
3472 SW Church Rd
Bluffton, IN 46714-9002
Phone (260) 417-4750
Other providers in Clarkston, MI
- Jill E Barnett
- Laura Barnett
- John Fisher Barrett
- Jodi Michelle Barrigar
- Amanda Barterian
- Karen Ann Bashawaty
- Mihaela Batke
- Delaney Erica Battaglia
- Mary Theresa Bauer
- Fred J. Baumann
All providers in Clarkston, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.