Provider Demographics
NPI:1346478914
Name:BARNEY, MARK L (DPT)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:L
Last Name:BARNEY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:756 W 1550 S
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-5994
Mailing Address - Country:US
Mailing Address - Phone:385-225-5349
Mailing Address - Fax:
Practice Address - Street 1:1675 N FREEDOM BLVD STE 10B
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-6906
Practice Address - Country:US
Practice Address - Phone:801-228-1935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2233225100000X
UT8449268-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist