Individual provider · Type 1 NPI
Shannon Tara Barlow, PT
Pediatric Rehabilitation Medicine Physician · Pocatello, ID
Practice location
1001 N 7th Ave Ste 205
Pocatello, ID 83201-5761
Fax (208) 239-1794
Mailing address
1001 N 7th Ave Ste 280
Pocatello, ID 83201-5788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT-1900 (ID) |
| Pediatric Rehabilitation Medicine Physician Primary | 2081P0010X | PT-1900 (ID) |
Pediatric Rehabilitation Medicine Physician: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabi…
Another provider at this address
About NPI 1457083487
Shannon Tara Barlow, PT's National Provider Identifier is 1457083487, issued on Jun 28, 2022. The primary taxonomy on file is Pediatric Rehabilitation Medicine Physician (2081P0010X), and the practice location is in Pocatello, ID. The record was last updated on Oct 1, 2024.