MEDICARE: COLIN BARKER MS, LAT, ATC, CSCS

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	2255A2300X	Athletic Trainer		WI

General Provider Information

NPI Number	:	1417639154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLIN BARKER MS, LAT, ATC, CSCS

Provider Business Mailing Address
First Line	:	1200 RIVER VIEW AVE APT 21
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-5146
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 S VIEW DR STE 15132
Second Line	:
City	:	MOSINEE
State	:	WI
Zip	:	54455-8205
Country	:	US
Telephone Number	:	715-298-2104
Fax Number	:

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

Provider Enumeration Date	:	08/02/2023
Last Update Date	:	06/05/2026

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Directions to “ COLIN BARKER MS, LAT, ATC, CSCS” Practice Location

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