Provider Demographics
NPI:1215665609
Name:BARNES, WHYTLEIGH MADICYN (PT, DPT)
Entity type:Individual
Prefix:
First Name:WHYTLEIGH
Middle Name:MADICYN
Last Name:BARNES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:WHYTLEIGH
Other - Middle Name:MADICYN
Other - Last Name:GUERRERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:2 CADDO CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:71943-8882
Mailing Address - Country:US
Mailing Address - Phone:870-356-4954
Mailing Address - Fax:870-356-4956
Practice Address - Street 1:2 CADDO CROSSING DR
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:AR
Practice Address - Zip Code:71943-8882
Practice Address - Country:US
Practice Address - Phone:870-356-4954
Practice Address - Fax:870-356-4956
Is Sole Proprietor?:No
Enumeration Date:2022-08-12
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR5148225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist