Provider Demographics
NPI:1528394723
Name:BARNER, CLAUDINE ECKERT (PT)
Entity Type:Individual
Prefix:
First Name:CLAUDINE
Middle Name:ECKERT
Last Name:BARNER
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:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:RENICK
Mailing Address - State:MO
Mailing Address - Zip Code:65278-0037
Mailing Address - Country:US
Mailing Address - Phone:660-263-4886
Mailing Address - Fax:
Practice Address - Street 1:101 MIDDLE STREET
Practice Address - Street 2:
Practice Address - City:RENICK
Practice Address - State:MO
Practice Address - Zip Code:65278
Practice Address - Country:US
Practice Address - Phone:660-263-4886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO106549225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist