Healthcare Provider Details

I. General information

NPI: 1346917853
Provider Name (Legal Business Name): REBECCA LEIGH BARCHUS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 08/21/2022
Certification Date: 08/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3719 88TH ST NE STE A
MARYSVILLE WA
98270-7228
US

IV. Provider business mailing address

3719 88TH ST NE STE A
MARYSVILLE WA
98270-7228
US

V. Phone/Fax

Practice location:
  • Phone: 360-326-2907
  • Fax:
Mailing address:
  • Phone: 360-659-9621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number61193019
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: