Provider Demographics
NPI:1285097501
Name:BARNES, KATHERINE CLAIRE (ATC, LAT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:CLAIRE
Last Name:BARNES
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5549 HUISACHE ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4835
Mailing Address - Country:US
Mailing Address - Phone:713-504-4487
Mailing Address - Fax:
Practice Address - Street 1:3100 CULLEN BLVD
Practice Address - Street 2:SUITE 1100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77204-6099
Practice Address - Country:US
Practice Address - Phone:713-743-9422
Practice Address - Fax:713-743-0679
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT60732255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer