Provider Demographics
NPI:1518414960
Name:BARNES, DANYELLE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:DANYELLE
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:VELMA
Other - Middle Name:DANYELLE
Other - Last Name:DYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1459 MONTREAL RD OFC BUILDING
Mailing Address - Street 2:SUITE 301
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-6900
Mailing Address - Country:US
Mailing Address - Phone:404-251-3420
Mailing Address - Fax:404-251-3423
Practice Address - Street 1:1459 MONTREAL RD OFC BUILDING
Practice Address - Street 2:SUITE 301
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-6900
Practice Address - Country:US
Practice Address - Phone:404-251-3420
Practice Address - Fax:404-251-3423
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT012534225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist