NPI 1174585343 · live from the CMS NPI Registry
Gregory Spence Barker, DPT
Physical Therapist in Ashton, ID. National Provider Identifier 1174585343, active.
NPI record
| NPI | 1174585343 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 700 N 2nd St, Ashton, ID 83420 |
| Practice phone | 208-359-9570 |
| Mailing address | 36 Professional Plz Ste 110, Rexburg, ID 83440 |
| Enumerated | April 4, 2006 |
| Last updated | June 24, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Medicine & Rehabilitation | 208100000X | PT-1725 (ID) |
| Physical Therapist primary | 225100000X | 1725 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.