Provider Demographics
NPI:1689723140
Name:GETZ, BARBARA M (PT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:M
Last Name:GETZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2431 CALLE LINDA
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-6271
Mailing Address - Country:US
Mailing Address - Phone:505-629-8256
Mailing Address - Fax:505-438-0142
Practice Address - Street 1:3600 CERRILLOS RD
Practice Address - Street 2:SUITE 719-C
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-2699
Practice Address - Country:US
Practice Address - Phone:505-629-8256
Practice Address - Fax:505-438-0142
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM583225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist