Provider Demographics
NPI:1144633728
Name:BARLAGE, JOSEPH MARION (ATC, LAT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:MARION
Last Name:BARLAGE
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1185 W COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-5156
Mailing Address - Country:US
Mailing Address - Phone:317-884-0995
Mailing Address - Fax:317-882-7882
Practice Address - Street 1:1185 W COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-5156
Practice Address - Country:US
Practice Address - Phone:317-884-0995
Practice Address - Fax:317-882-7882
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN36001674A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer