Provider Demographics
NPI:1538813506
Name:BARTON, PATRICIA LYNN
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LYNN
Last Name:BARTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:L
Other - Last Name:BARTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSG012146
Mailing Address - Street 1:1634 MARS HILL RD
Mailing Address - Street 2:
Mailing Address - City:SUTERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15083-1398
Mailing Address - Country:US
Mailing Address - Phone:412-680-4134
Mailing Address - Fax:
Practice Address - Street 1:13380 ROUTE 30 STE 5A
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-1125
Practice Address - Country:US
Practice Address - Phone:412-610-5639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG012146225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty