Provider Demographics
NPI:1225307739
Name:BARSH, IRENE ELIZABETH (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:ELIZABETH
Last Name:BARSH
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
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Mailing Address - Street 1:325 W CENTER ST APT 231
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-4688
Mailing Address - Country:US
Mailing Address - Phone:801-426-4905
Mailing Address - Fax:801-426-4953
Practice Address - Street 1:5314 RIVER RUN DR STE 140
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-5691
Practice Address - Country:US
Practice Address - Phone:801-426-4905
Practice Address - Fax:801-426-4953
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT1131952401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist