Michelle L Barker, PTA
Individual provider Active NPI Physical Therapy Assistant · Poteau, OK
NPI 1457520686 · NPPES record last updated Feb 21, 2008
Key facts
- NPI
- 1457520686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1645 (OK)
- Practice address
- 2104 N Broadway St
Suite B
Poteau, OK 74953-2501 - Phone
- (918) 649-0799
- NPI assigned
- Feb 21, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 1645 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1645 | OK | Yes |
Addresses
Primary practice location
2104 N Broadway St
Suite B
Poteau, OK 74953-2501
Mailing address
2104 N Broadway St
Suite B
Poteau, OK 74953-2501
Phone (918) 649-0799
Other providers in Poteau, OK
- Ferrell Lace Balentine
- Lauren Eva Ball
- Elizabeth Banda
- Laurie Bandy
- Marilyn Bandy
- Benjamin Jackson Barnes
- Ross Barnhart
- Teran Barnhart
- Lisa Barron
- Brittney Battin
All providers in Poteau, OK · Physical Therapy Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2008. 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.