| Doctor Name: | KEN BARIEL |
| NPI Number: | 1063501229 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT5574 |
| Business Practice Address: | 6574 Oakmont Dr Ste D Santa Rosa, CA - 954095958 |
| Business Phone Number: | 7075395256 |
| Business Fax Number: | 7075395256 |
| Mailing Address: | 795 Farmers Ln, Ste 10 SANTA ROSA |
| State: | CA |
| Postal Code: | 954056718 |
| Phone Number: | 7075717615 |
| Fax Number: | 7075717615 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 10/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT5574 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |