Provider Demographics
NPI:1487066403
Name:BARRIE, ELISABETH (DPT)
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:
Last Name:BARRIE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ELISABETH
Other - Middle Name:
Other - Last Name:READ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3995 BAYBERRY LN
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-6173
Mailing Address - Country:US
Mailing Address - Phone:517-204-1756
Mailing Address - Fax:
Practice Address - Street 1:1331 E GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6720
Practice Address - Country:US
Practice Address - Phone:517-204-1756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-25
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501013484225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist