Provider Demographics
NPI:1548595093
Name:BARR, DAVID MORRIS (LMP, MA ED)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:MORRIS
Last Name:BARR
Suffix:
Gender:M
Credentials:LMP, MA ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4356 LEARY WAY NW
Mailing Address - Street 2:STE. A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107
Mailing Address - Country:US
Mailing Address - Phone:206-651-4214
Mailing Address - Fax:
Practice Address - Street 1:4356 LEARY WAY NW
Practice Address - Street 2:STE. A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107
Practice Address - Country:US
Practice Address - Phone:206-651-4214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60091208172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist