Provider Demographics
NPI:1033651138
Name:BARNES, AARON (MS, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:BARNES
Suffix:
Gender:M
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17508 PLATTSBURG RD
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MO
Mailing Address - Zip Code:64048-8965
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17508 PLATTSBURG RD
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MO
Practice Address - Zip Code:64048-8965
Practice Address - Country:US
Practice Address - Phone:405-612-1135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor