Provider Demographics
NPI:1700364635
Name:BARRETT, SEAN MICHAEL (DPT)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:MICHAEL
Last Name:BARRETT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 E HYMAN AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-1981
Mailing Address - Country:US
Mailing Address - Phone:970-925-1808
Mailing Address - Fax:
Practice Address - Street 1:790 CHIEF JUSTICE CUSHING HWY
Practice Address - Street 2:
Practice Address - City:COHASSET
Practice Address - State:MA
Practice Address - Zip Code:02025-2140
Practice Address - Country:US
Practice Address - Phone:781-383-8001
Practice Address - Fax:781-383-8009
Is Sole Proprietor?:No
Enumeration Date:2018-08-02
Last Update Date:2018-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist