Provider Demographics
NPI:1851131056
Name:BARRIOS, ALANNA (DPT)
Entity type:Individual
Prefix:
First Name:ALANNA
Middle Name:
Last Name:BARRIOS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1290 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2000
Mailing Address - Country:US
Mailing Address - Phone:985-326-7260
Mailing Address - Fax:985-326-7261
Practice Address - Street 1:1290 FRONT ST
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2000
Practice Address - Country:US
Practice Address - Phone:985-326-7260
Practice Address - Fax:985-326-7261
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
LA11751208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist