SONDRA FAYE BARNES, MT - NPI NUMBER 1235422585

Summary

Provider Name: SONDRA FAYE BARNES, MT

NPI Number: 1235422585

Clasification: Massage Therapist (225700000X)

Address:
2769 COOLIDGE HWY
BERKLEY, MI
ZIP 48072

Phone Number: (248) 890-7096



Detailed Information

Sondra Faye Barnes, MT is a massage therapist in Berkley, MI. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. The assigned NPI number for this provider is 1235422585 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

2769 COOLIDGE HWY
BERKLEY, MI
ZIP 48072-556
Phone: (248) 890-7096

The enumeration date for this NPI number is 5/19/2011 and was last updated on 6/4/2014.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 225700000X Massage Therapist 155719-00 MI Yes

NPI Record

No. Field Name Field Value
1 NPI 1235422585
2 Entity Type Code 1
3 Provider Last Name Legal Name BARNES
4 Provider First Name SONDRA
5 Provider Middle Name FAYE
6 Provider Credential Text MT
7 Provider First Line Business Practice Location Address 2769 COOLIDGE HWY
8 Provider Business Practice Location Address City Name BERKLEY
9 Provider Business Practice Location Address State Name MI
10 Provider Business Practice Location Address Postal Code 480721556
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 2488907096
13 Provider Enumeration Date 5/19/2011
14 Last Update Date 6/4/2014
15 Provider Gender Code F
16 Healthcare Provider Taxonomy Code 1 225700000X
17 Provider License Number 1 155719-00
18 Provider License Number State Code 1 MI
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Sole Proprietor N

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This page was last updated on: 9/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.