Julie Kim Barr, LMT

Individual provider Active NPI Massage Therapist · Maryville, TN

NPI 1235759648 · NPPES record last updated Apr 28, 2020

Key facts

NPI
1235759648
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
11832 (TN)
Practice address
1056 Willow Creek Cir
Maryville, TN 37804-3569
Phone
(865) 801-5551
NPI assigned
Apr 26, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11832TNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryville Massage Single Specialty Current
since May 3, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X 11832 TN Yes

Addresses

Primary practice location

1056 Willow Creek Cir
Maryville, TN 37804-3569

Mailing address

1056 Willow Creek Cir
Maryville, TN 37804-3569
Phone (865) 801-5551

Other providers in Maryville, TN

All providers in Maryville, TN · Massage Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.