Provider Demographics
NPI:1225149842
Name:BARKER, RAMONA RICHARDSON (PT)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:RICHARDSON
Last Name:BARKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:LYNN
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:980 CREEKVIEW DR STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-6600
Mailing Address - Country:US
Mailing Address - Phone:812-372-7023
Mailing Address - Fax:812-372-7027
Practice Address - Street 1:980 CREEKVIEW DR STE B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-6600
Practice Address - Country:US
Practice Address - Phone:812-372-7023
Practice Address - Fax:812-372-7027
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05005087A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000298185OtherANTHEM PIN NUMBER