Healthcare Provider Details

I. General information

NPI: 1518889906
Provider Name (Legal Business Name): BRYNNA BARNES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 INDEPENDENCE SQ UNIT J
WEST PLAINS MO
65775-4234
US

IV. Provider business mailing address

2500 INDEPENDENCE SQ UNIT J
WEST PLAINS MO
65775-4234
US

V. Phone/Fax

Practice location:
  • Phone: 870-916-5130
  • Fax: 870-277-0896
Mailing address:
  • Phone:
  • Fax: 870-277-0896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number2026035863
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: