Provider Demographics
NPI:1184141178
Name:BARNES, ANNA FULTON (PT, DPT)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:FULTON
Last Name:BARNES
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 1:9503 CAMBERWELL DR
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-8862
Mailing Address - Country:US
Mailing Address - Phone:601-519-6625
Mailing Address - Fax:
Practice Address - Street 1:1117B N MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-3550
Practice Address - Country:US
Practice Address - Phone:251-215-4900
Practice Address - Fax:251-218-2498
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-29
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH11396225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSPT-6269OtherSTATE LICENSE #