Provider Demographics
NPI:1619513231
Name:HAUSMANN, BARBARA ANNA (MS, ATC, CES)
Entity Type:Individual
Prefix:
First Name:BARBARA ANNA
Middle Name:
Last Name:HAUSMANN
Suffix:
Gender:F
Credentials:MS, ATC, CES
Other - Prefix:
Other - First Name:BARBARA ANNA
Other - Middle Name:
Other - Last Name:BURRISS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2981 WATERHILL DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31820-3492
Mailing Address - Country:US
Mailing Address - Phone:814-323-7418
Mailing Address - Fax:
Practice Address - Street 1:9375 CONWAY DR BLDG 3425
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31905-5920
Practice Address - Country:US
Practice Address - Phone:814-323-7418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
UNKNOWNOtherUNKNOWN