Provider Demographics
NPI:1720967581
Name:BAREFIELD, CAROLINE (PTA)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:BAREFIELD
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 TUSCULUM BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-4236
Mailing Address - Country:US
Mailing Address - Phone:423-609-3906
Mailing Address - Fax:423-609-3907
Practice Address - Street 1:1321 TUSCULUM BLVD
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4236
Practice Address - Country:US
Practice Address - Phone:423-609-3906
Practice Address - Fax:423-609-3907
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4932225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant