Healthcare Provider Details

I. General information

NPI: 1962133942
Provider Name (Legal Business Name): TERESA N BARBERY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERESA N THIERER DPT

II. Dates (important events)

Enumeration Date: 06/21/2022
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9414 RIDGETOP BLVD NW STE 106
SILVERDALE WA
98383-8526
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 360-289-2647
  • Fax:
Mailing address:
  • Phone: 426-497-0005
  • Fax: 206-855-8465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number61304583
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: