Provider Demographics
NPI:1639552466
Name:LEMMEL, BARBARA ANN (PT, DPT, SCS, ATC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:LEMMEL
Suffix:
Gender:F
Credentials:PT, DPT, SCS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12350 INDUSTRY WAY
Mailing Address - Street 2:STE 170
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-4300
Mailing Address - Country:US
Mailing Address - Phone:907-522-1088
Mailing Address - Fax:907-349-5182
Practice Address - Street 1:10325 OLD SEWARD HWY STE 170
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-2628
Practice Address - Country:US
Practice Address - Phone:907-522-1088
Practice Address - Fax:907-349-5182
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1000412251S0007X, 2251S0007X
KY0060822251S0007X
OHAT.0041382255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer