Wilmir Phillip Barrera, RPT
Individual provider Active NPI Physical Therapist · Kennett, MO
NPI 1922403989 · NPPES record last updated Nov 1, 2014
Key facts
- NPI
- 1922403989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 303 W Washington St
Kennett, MO 63857-1941 - Phone
- (573) 717-9280
- NPI assigned
- Nov 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
303 W Washington St
Kennett, MO 63857-1941
Mailing address
303 W Washington St
Kennett, MO 63857-1941
Phone (573) 717-9280
Other providers in Kennett, MO
- Jordan Baker
- Eddie R Ballard
- Elsie Barbosa
- Alison Taylor Barnes
- Kelsey Leeann Barnes
- Michael Allen Barrow
- Leah Barton
- Lisa Joanne Barton
- Tyler Batchelor
- Joseph Earl Bates
All providers in Kennett, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2014. 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.