MEDICARE: MRS. KARLA PAYNE BARKLEY 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
1	225100000X	Physical Therapist	5064	SC
2	225100000X	Physical Therapist	PT23770	FL

General Provider Information

NPI Number	:	1770692089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KARLA PAYNE BARKLEY PT

Provider Business Mailing Address
First Line	:	4406 N. DAVIS HWY
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503
Country	:	US
Telephone Number	:	850-434-1570
Fax Number	:	850-434-3342

Provider Business Practice Location Address
First Line	:	4406 N. DAVIS HWY
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503
Country	:	US
Telephone Number	:	850-434-1570
Fax Number	:	850-434-3342

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	06/14/2013

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