Barbara Veronica Boren, PTA
Individual provider Active NPI Physical Therapy Assistant · Pembroke, KY
NPI 1669679668 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669679668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A01608 (KY)
- Practice address
- 124 West Nashville Street
Pembroke, KY 42266-0249 - Phone
- (270) 475-4173
- NPI assigned
- Jul 2, 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 |
|---|---|---|---|
| A01608 | KY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A01608 | KY | Yes |
Addresses
Primary practice location
124 West Nashville Street
Pembroke, KY 42266-0249
Mailing address
511 Delmont Church Road
Cadiz, KY 42211
Phone (270) 522-4218
Other providers in Pembroke, KY
- Mary Anne Akin
- Chapelle Bell
- Reba Jo Boley
- Bright Start Early Intervention
- Jaimee Clarke
- Erin Grace Covington
- Jennifer Renee Daniel
- Extendicare Homes, Inc.
All providers in Pembroke, KY · Physical Therapy Assistant in Kentucky
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.