Provider Demographics
NPI:1790800738
Name:EBY, BARBARA A (PT, DPT, MED)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:EBY
Suffix:
Gender:F
Credentials:PT, DPT, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2026 PARKVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-2834
Mailing Address - Country:US
Mailing Address - Phone:269-775-1551
Mailing Address - Fax:269-775-1552
Practice Address - Street 1:2026 PARKVIEW AVE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-2834
Practice Address - Country:US
Practice Address - Phone:269-775-1551
Practice Address - Fax:269-775-1552
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501004752225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist