Provider Demographics
NPI:1891166997
Name:MULKEY, BARRI JOE II (ATC, LAT)
Entity Type:Individual
Prefix:MR
First Name:BARRI
Middle Name:JOE
Last Name:MULKEY
Suffix:II
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 MAPLE CIR
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:TX
Mailing Address - Zip Code:75173-7020
Mailing Address - Country:US
Mailing Address - Phone:903-217-6306
Mailing Address - Fax:
Practice Address - Street 1:620 N FM 1138
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:TX
Practice Address - Zip Code:75173-8037
Practice Address - Country:US
Practice Address - Phone:972-843-8414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0401010102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer