Provider Demographics
NPI:1497324578
Name:BARNETT, JOHN CALEB (PT, DPT)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CALEB
Last Name:BARNETT
Suffix:
Gender:M
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 1:1600 LAKE SHORE DR APT NO623
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76708-3701
Mailing Address - Country:US
Mailing Address - Phone:573-239-2725
Mailing Address - Fax:
Practice Address - Street 1:1600 LAKE SHORE DR APT NO623
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76708-3701
Practice Address - Country:US
Practice Address - Phone:573-239-2725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-22
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist