Timothy Martin Barron

Individual provider Active NPI Physical Therapy Assistant · Henderson, KY

NPI 1992185482 · NPPES record last updated Jun 1, 2015

Key facts

NPI
1992185482
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A02059 (KY)
Practice address
1305 N Elm St
Henderson, KY 42420-2783
Phone
(270) 827-7593
Fax
(270) 827-7358
NPI assigned
Jun 1, 2015
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
A02059KYMDPhysical Therapy Assistant
AT296KYMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A02059 KY Yes
Athletic Trainer 2255A2300X AT296 KY

Addresses

Primary practice location

1305 N Elm St
Henderson, KY 42420-2783

Mailing address

231 Bittersweet Lane
Henderson, KY 42420
Phone (270) 827-7593

Other providers in Henderson, KY

All providers in Henderson, KY · Physical Therapy Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.