NPI 1457083487

Shannon Tara Barlow, PT

Practitioner Pediatric Rehabilitation Medicine Physician Pocatello, ID

Practice location

Address: 1001 N 7th Ave STE 205, Pocatello, ID 83201-5761
Phone: (208) 239-1490
Fax: (208) 239-1794
Mailing address: 1001 N 7th Ave STE 280, Pocatello, ID 83201-5788

Registered specialties (2)

Pediatric Rehabilitation Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P0010X Licence PT-1900 (ID)

Other Physical Medicine & Rehabilitation providers in Idaho →

Physical Therapy Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2000X Licence PT-1900 (ID)

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1457083487
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jun 2022
Record last updated: 1 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.