| NPI | 1235287699 | 
|---|---|
| Former Name | TRACY LYN BARNES | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2590)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT 00008778)  | 
| Enumeration Date | 2007-01-08 | 
| Last Update Date | 2007-07-08 |