Provider Demographics
NPI:1205389723
Name:BARCLAY, KAREN M (LMT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:BARCLAY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2051 S CALLE CHICO
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635
Mailing Address - Country:US
Mailing Address - Phone:520-335-8650
Mailing Address - Fax:
Practice Address - Street 1:3965 E FOOTHILLS DR STE C
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-4252
Practice Address - Country:US
Practice Address - Phone:520-452-1111
Practice Address - Fax:888-774-3483
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-21606225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist