Provider Demographics
NPI:1295144327
Name:NEYHOUSE, BARBARA SUE (PTA)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:SUE
Last Name:NEYHOUSE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1639 SEABROOK RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45432-3531
Mailing Address - Country:US
Mailing Address - Phone:937-299-8371
Mailing Address - Fax:
Practice Address - Street 1:75 HALE ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:OH
Practice Address - Zip Code:45177-2104
Practice Address - Country:US
Practice Address - Phone:937-382-1621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-01
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH06008225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant