MEDICARE: MS. KATIE BARBIER M S CTRS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225800000X	Recreation Therapist

General Provider Information

NPI Number	:	1386847556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATIE BARBIER M S CTRS

Provider Business Mailing Address
First Line	:	609 HEUSTIS ST
Second Line	:
City	:	YORKVILLE
State	:	IL
Zip	:	60560-1526
Country	:	US
Telephone Number	:	630-553-6226
Fax Number	:

Provider Business Practice Location Address
First Line	:	4150 GATLING BLVD
Second Line	:
City	:	COUNTRY CLUB HILLS
State	:	IL
Zip	:	60478-2024
Country	:	US
Telephone Number	:	708-795-2307
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	07/08/2007

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