Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON TARA BARLOW, PT
Active Sole ProprietorSHANNON TARA BARLOW, PT is a Pediatric Rehabilitation Medicine healthcare provider located in POCATELLO, Idaho. NPI 1457083487 is currently active in the NPPES registry. Verify at CMS.
Pediatric Rehabilitation Medicine · POCATELLO, ID
Registration Details
- NPI Number
- 1457083487
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2022 (4.0876371094183 yrs)
- Last Updated
- Oct 1, 2024
- Licenses
-
PT-1900 (ID)PT-1900 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1001 N 7TH AVE STE 205POCATELLO, ID, 832015761Browse ID providers · Browse ZIP 83201
- Phone
- 2082391490
- Fax
- 2082391794
- Primary Specialty
-
Pediatric Rehabilitation Medicine
2081P0010X
- Additional Specialty
- Pediatric Rehabilitation Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.