Provider Demographics
NPI:1922799642
Name:BARNETT, JOY EILEEN (LMT, CMT)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:EILEEN
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LMT, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29263 VERDALE AVE
Mailing Address - Street 2:
Mailing Address - City:CASTAIC
Mailing Address - State:CA
Mailing Address - Zip Code:91384-2451
Mailing Address - Country:US
Mailing Address - Phone:661-310-8334
Mailing Address - Fax:
Practice Address - Street 1:26483 BOUQUET CANYON RD FL 2
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-2396
Practice Address - Country:US
Practice Address - Phone:661-310-8334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA92626225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist