Provider Demographics
NPI:1609960657
Name:BARCLIFT, REBECCA M (MPT, DPT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:M
Last Name:BARCLIFT
Suffix:
Gender:F
Credentials:MPT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 N 15TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-2384
Mailing Address - Country:US
Mailing Address - Phone:319-294-6694
Mailing Address - Fax:319-294-6113
Practice Address - Street 1:740 N 15TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-2384
Practice Address - Country:US
Practice Address - Phone:319-294-6694
Practice Address - Fax:319-294-6113
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03462225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0665430Medicaid
IAIB1213Medicare PIN
IAIB1213002Medicare PIN
IAIB1212Medicare PIN
IAIB1212002Medicare PIN