Provider Demographics
NPI:1962834382
Name:BARKER, GALTON (PTA)
Entity Type:Individual
Prefix:MR
First Name:GALTON
Middle Name:
Last Name:BARKER
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 BORDEN RD
Mailing Address - Street 2:APT 203
Mailing Address - City:BOSCOBEL
Mailing Address - State:WI
Mailing Address - Zip Code:53805-8904
Mailing Address - Country:US
Mailing Address - Phone:715-533-3137
Mailing Address - Fax:
Practice Address - Street 1:803 BORDEN RD
Practice Address - Street 2:APT 203
Practice Address - City:BOSCOBEL
Practice Address - State:WI
Practice Address - Zip Code:53805-8904
Practice Address - Country:US
Practice Address - Phone:715-533-3137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1816-19225200000X
VA2306603682225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant