Provider Demographics
NPI:1942590575
Name:BARKER, GEA BELLE (LMT)
Entity Type:Individual
Prefix:MS
First Name:GEA
Middle Name:BELLE
Last Name:BARKER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 SAINT HELENS ST
Mailing Address - Street 2:STE 101
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-2029
Mailing Address - Country:US
Mailing Address - Phone:503-998-0034
Mailing Address - Fax:
Practice Address - Street 1:161 SAINT HELENS ST
Practice Address - Street 2:STE 101
Practice Address - City:SAINT HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051-2029
Practice Address - Country:US
Practice Address - Phone:503-998-0034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-16
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR18028172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist