Provider Demographics
NPI:1558513648
Name:BARNES, THERESA ANNE (DPT)
Entity Type:Individual
Prefix:MS
First Name:THERESA
Middle Name:ANNE
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 1:6640 AKERS MILL RD SE
Mailing Address - Street 2:APT 923
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2624
Mailing Address - Country:US
Mailing Address - Phone:404-913-2327
Mailing Address - Fax:
Practice Address - Street 1:10930 CRABAPPLE RD
Practice Address - Street 2:SUITE 16
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-5813
Practice Address - Country:US
Practice Address - Phone:770-640-1116
Practice Address - Fax:866-813-0930
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA010883225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist