Provider Demographics
NPI:1245649839
Name:BARRETT, BRITTNEY (ATC-L)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:ATC-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 OVERLOOK RIDGE DR APT 3
Mailing Address - Street 2:
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-1131
Mailing Address - Country:US
Mailing Address - Phone:801-259-2942
Mailing Address - Fax:
Practice Address - Street 1:11 OVERLOOK RIDGE DR APT 3
Practice Address - Street 2:
Practice Address - City:REVERE
Practice Address - State:MA
Practice Address - Zip Code:02151-1131
Practice Address - Country:US
Practice Address - Phone:801-259-2942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer