Provider Demographics
NPI:1457450983
Name:BAREFIELD, KAREN (PT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:BAREFIELD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:573 HASCALL RD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2227
Mailing Address - Country:US
Mailing Address - Phone:404-728-9766
Mailing Address - Fax:404-728-9166
Practice Address - Street 1:1244 CLAIRMONT RD
Practice Address - Street 2:SUITE 224
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1259
Practice Address - Country:US
Practice Address - Phone:404-728-9766
Practice Address - Fax:404-728-9166
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT001499225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist