Ashley Rae Barnett, PTA

Individual provider Active NPI Physical Therapy Assistant · Graham, WA

NPI 1497967582 · NPPES record last updated Jul 20, 2016

Key facts

NPI
1497967582
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
160002719 (IL)
Practice address
21806 103Rd Avenue CT E
Suite 103
Graham, WA 98338-8115
Phone
(253) 847-3700
Fax
(253) 847-9622
NPI assigned
May 3, 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

LicenseStateTypeSpecialty
160002719ILMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160002719 IL Yes

Addresses

Primary practice location

21806 103Rd Avenue CT E
Suite 103
Graham, WA 98338-8115

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other providers in Graham, WA

All providers in Graham, WA · Physical Therapy Assistant in Washington

Sources for this page

Verify at the official NPI Registry.