Provider Demographics
NPI:1982350138
Name:BARRON, TIANA DANIELLE (ATC)
Entity type:Individual
Prefix:MISS
First Name:TIANA
Middle Name:DANIELLE
Last Name:BARRON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 INAUDI CT
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:CA
Mailing Address - Zip Code:95363-9789
Mailing Address - Country:US
Mailing Address - Phone:209-988-6015
Mailing Address - Fax:
Practice Address - Street 1:1600 E CANAL DR
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-4299
Practice Address - Country:US
Practice Address - Phone:350-206-6400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-25
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer