Healthcare Provider Details

I. General information

NPI: 1639454366
Provider Name (Legal Business Name): BARRETT BIGGS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2011
Last Update Date: 10/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2209 CANTERBURY DR
HAYS KS
67601-2276
US

IV. Provider business mailing address

2209 CANTERBURY DR
HAYS KS
67601-2276
US

V. Phone/Fax

Practice location:
  • Phone: 785-621-4570
  • Fax:
Mailing address:
  • Phone: 785-621-4570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number11-03074
License Number StateKS

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: