Provider Demographics
NPI:1508198151
Name:BARNES, ERIN SANDERS (DPT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:SANDERS
Last Name:BARNES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MICHELLE
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6901 CARSLAW CT
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-8358
Mailing Address - Country:US
Mailing Address - Phone:502-907-3778
Mailing Address - Fax:
Practice Address - Street 1:6901 CARSLAW CT
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-8358
Practice Address - Country:US
Practice Address - Phone:502-907-3778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY006201225100000X
NC12497225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY006201OtherKENTUCKY BOARD OF PHYSICAL THERAPY
NC12497OtherNC BOARD OF PHYSICAL THERAPY EXAMINERS LICENSE