MEDICARE: ANDREA CHRISTINE BARRETT PT, 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	2481	NV

General Provider Information

NPI Number	:	1508171083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA CHRISTINE BARRETT PT, DPT

Provider Business Mailing Address
First Line	:	3233 W CHARLESTON BLVD
Second Line	:	SUITE 107
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1938
Country	:	US
Telephone Number	:	702-522-1785
Fax Number	:	702-522-1785

Provider Business Practice Location Address
First Line	:	3233 W CHARLESTON BLVD
Second Line	:	SUITE 107
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1938
Country	:	US
Telephone Number	:	702-522-1785
Fax Number	:	702-522-1785

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

Provider Enumeration Date	:	08/09/2010
Last Update Date	:	08/09/2010

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