Provider Demographics
NPI:1003360454
Name:BARNHART, KATELYN (DPT)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:BARNHART
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 582
Mailing Address - Street 2:
Mailing Address - City:NORTH CREEK
Mailing Address - State:NY
Mailing Address - Zip Code:12853-0582
Mailing Address - Country:US
Mailing Address - Phone:607-351-0369
Mailing Address - Fax:
Practice Address - Street 1:4 BARTON LANE
Practice Address - Street 2:
Practice Address - City:NORTH RIVER
Practice Address - State:NY
Practice Address - Zip Code:12856
Practice Address - Country:US
Practice Address - Phone:607-351-0369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-14
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT025417225100000X
NY049965225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist