Healthcare Provider Details

I. General information

NPI: 1689129181
Provider Name (Legal Business Name): CASEY ELIZABETH BARNETT ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASEY ELIZABETH BAUER ATC

II. Dates (important events)

Enumeration Date: 08/25/2016
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11012 NEWARK ST
COMMERCE CITY CO
80640-7708
US

IV. Provider business mailing address

11012 NEWARK ST
COMMERCE CITY CO
80640-7708
US

V. Phone/Fax

Practice location:
  • Phone: 303-482-6447
  • Fax:
Mailing address:
  • Phone: 303-482-6447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT.0001853
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: