Provider Demographics
NPI:1467926261
Name:BARSEMA, ERIN C (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:C
Last Name:BARSEMA
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20815 BELLEVUE CASCADE RD
Mailing Address - Street 2:
Mailing Address - City:LA MOTTE
Mailing Address - State:IA
Mailing Address - Zip Code:52054-9493
Mailing Address - Country:US
Mailing Address - Phone:563-589-3857
Mailing Address - Fax:
Practice Address - Street 1:2000 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-5050
Practice Address - Country:US
Practice Address - Phone:563-589-3857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0007412255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer