MEDICARE: MICHELLE D BAREFIELD P.T.

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	00004530	TN

General Provider Information

NPI Number	:	1679578645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE D BAREFIELD P.T.

Provider Business Mailing Address
First Line	:	223 NORTH MAIN STREET
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37745
Country	:	US
Telephone Number	:	423-798-0563
Fax Number	:	423-798-9602

Provider Business Practice Location Address
First Line	:	223 NORTH MAIN STREET
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37745
Country	:	US
Telephone Number	:	423-798-0563
Fax Number	:	423-798-9602

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/08/2007

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