Provider Demographics
NPI:1912219726
Name:BARRETT, BELINDA DESIREE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:DESIREE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2127 WHITE EAGLE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-8688
Mailing Address - Country:US
Mailing Address - Phone:575-642-9531
Mailing Address - Fax:
Practice Address - Street 1:2127 WHITE EAGLE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-8688
Practice Address - Country:US
Practice Address - Phone:575-642-9531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010020233225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist