Provider Demographics
NPI:1780740118
Name:BARKLEY, MICHAEL F (DPT)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:BARKLEY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 CLAY AVE
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18510-1186
Mailing Address - Country:US
Mailing Address - Phone:570-344-4277
Mailing Address - Fax:
Practice Address - Street 1:155 BROOKLYN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CARBONDALE
Practice Address - State:PA
Practice Address - Zip Code:18407-2200
Practice Address - Country:US
Practice Address - Phone:570-282-3344
Practice Address - Fax:570-282-4622
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015205225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist