Provider Demographics
NPI:1528419520
Name:BARNES, DEVON (DPT)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 WALNUT ST
Mailing Address - Street 2:SUITE #114
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-1669
Mailing Address - Country:US
Mailing Address - Phone:717-655-5681
Mailing Address - Fax:
Practice Address - Street 1:118 WALNUT ST
Practice Address - Street 2:SUITE #114
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-1669
Practice Address - Country:US
Practice Address - Phone:717-655-5681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATPT0218142251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic