Provider Demographics
NPI:1114212180
Name:BARNETT, PAULA RENEE (LMT)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:RENEE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:RENEE
Other - Last Name:POWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1350 W. 5TH AVE
Mailing Address - Street 2:SUITE 329
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212
Mailing Address - Country:US
Mailing Address - Phone:614-404-8226
Mailing Address - Fax:614-486-9805
Practice Address - Street 1:1350 W. 5TH AVE
Practice Address - Street 2:SUITE 329
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212
Practice Address - Country:US
Practice Address - Phone:614-404-8226
Practice Address - Fax:614-486-9805
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.007234225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist