Provider Demographics
NPI:1578753240
Name:BARNES, STEVEN A (DPT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:A
Last Name:BARNES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4247 E ROMA AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-4250
Mailing Address - Country:US
Mailing Address - Phone:602-357-4771
Mailing Address - Fax:602-357-4775
Practice Address - Street 1:4247 E ROMA AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-4250
Practice Address - Country:US
Practice Address - Phone:602-357-4771
Practice Address - Fax:602-357-4775
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7737225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist