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General NPI Number Information
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NPI Number | 1922339324
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Entity Type | Organization
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Legal Business Name | BARNES PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 10/25/2018
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Provider Practice Location Address
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Address Line | 24165 W INTERSTATE 10 STE 202
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City | SAN ANTONIO
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State | TX
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Zip | 78257-1160
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Country | US
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Telephone | 210-698-1919
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Fax | 210-698-6919
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Provider Business Mailing Address
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Address Line | 28255 INTERSTATE 10 W STE 103
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City | BOERNE
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State | TX
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Zip | 78006-6508
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Country | US
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Telephone | 210-698-1919
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Fax | 210-698-6919
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL S BARNES
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Credential | DPT
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Telephone | 210-698-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1138105
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License Number State | TX
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