Provider Demographics
NPI:1811002074
Name:BARY, GARRETT (DC, FAACA, CCCN)
Entity Type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:
Last Name:BARY
Suffix:
Gender:M
Credentials:DC, FAACA, CCCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9828 GREAT HILLS TRL
Mailing Address - Street 2:SUITE 455
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-6391
Mailing Address - Country:US
Mailing Address - Phone:512-345-2225
Mailing Address - Fax:512-590-8712
Practice Address - Street 1:9828 GREAT HILLS TRL
Practice Address - Street 2:SUITE 455
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-6391
Practice Address - Country:US
Practice Address - Phone:512-345-2225
Practice Address - Fax:512-590-8712
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0202111NN0400X, 174400000X
TX9211111NN1001X
TX0104171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No111NN0400XChiropractic ProvidersChiropractorNeurology
No111NN1001XChiropractic ProvidersChiropractorNutrition
No171100000XOther Service ProvidersAcupuncturist