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NPI Code Detail

MEDICARE: GREGORY BARR PT

MEDICARE: GREGORY BARR PT
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
1225100000XPhysical Therapist3481813ID

General Provider Information

NPI Number : 1417889650
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY BARR PT
Provider Business Mailing Address
First Line : 1088 W PRAIRIE AVE
Second Line :
City : COEUR D ALENE
State : ID
Zip : 83815-8741
Country : US
Telephone Number : 208-772-6609
Fax Number : 208-762-4440
Provider Business Practice Location Address
First Line : 1088 W PRAIRIE AVE
Second Line :
City : COEUR D ALENE
State : ID
Zip : 83815-8741
Country : US
Telephone Number : 208-772-6609
Fax Number : 208-762-4440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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