MEDICARE: CATHERINE ANN BARKOW DPT

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	225100000X	Physical Therapist	7297	MN

General Provider Information

NPI Number	:	1437355005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE ANN BARKOW DPT

Provider Business Mailing Address
First Line	:	2316 W 111TH ST
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55431-3933
Country	:	US
Telephone Number	:	952-346-0165
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 FLORIDA AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55426-1719
Country	:	US
Telephone Number	:	763-525-1193
Fax Number	:

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

Provider Enumeration Date	:	06/21/2007
Last Update Date	:	07/08/2007

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