MEDICARE: DR. RACHEL BOYD BARNARD 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	9260	TN

General Provider Information

NPI Number	:	1760905749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL BOYD BARNARD PT, DPT

Provider Business Mailing Address
First Line	:	126 TRADEWIND ST
Second Line	:
City	:	CLINTON
State	:	TN
Zip	:	37716-5986
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 INDUSTRIAL PARK LN
Second Line	:
City	:	ROCKY TOP
State	:	TN
Zip	:	37769-2301
Country	:	US
Telephone Number	:	615-478-5251
Fax Number	:

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

Provider Enumeration Date	:	07/20/2017
Last Update Date	:	07/20/2017

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