Provider Demographics
NPI:1679509574
Name:BARRINGER, KATHY LOUISE (OT,MT)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:LOUISE
Last Name:BARRINGER
Suffix:
Gender:F
Credentials:OT,MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5307 SHOEMAKER RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-5211
Mailing Address - Country:US
Mailing Address - Phone:740-353-2211
Mailing Address - Fax:740-353-4373
Practice Address - Street 1:1616 GRANT ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-3663
Practice Address - Country:US
Practice Address - Phone:740-353-2211
Practice Address - Fax:740-353-4373
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33012338225700000X
OHOT004304225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000480709OtherANTHEM BLUE CROSS BLUE SH
OH702025OtherAMERICAN CHIROPRACTIC NET
OH11621966OtherCAQH UNIVERSAL CREDENTIAL
OH11621966OtherCAQH UNIVERSAL CREDENTIAL