Galton Barker, PTA

Individual provider Active NPI Physical Therapy Assistant · Boscobel, WI

NPI 1962834382 · NPPES record last updated Aug 8, 2013

Key facts

NPI
1962834382
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
1816-19 (WI)
Practice address
803 Borden Rd
Apt 203
Boscobel, WI 53805-8904
Phone
(715) 533-3137
NPI assigned
Aug 8, 2013
Sex
Male
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
2306603682VAMDPhysical Therapy Assistant
1816-19WIMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1816-19 WI Yes
Physical Therapy Assistant 225200000X 2306603682 VA

Addresses

Primary practice location

803 Borden Rd
Apt 203
Boscobel, WI 53805-8904

Mailing address

803 Borden Rd
Apt 203
Boscobel, WI 53805-8904
Phone (715) 533-3137

Other providers in Boscobel, WI

All providers in Boscobel, WI · Physical Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.