| Doctor Name: | MR. BARTON DRAKE IBSEN |
| NPI Number: | 1417951112 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PTH3156 |
| Business Practice Address: | 121 Drinkard Dr Fort Payne, AL - 35967 |
| Business Phone Number: | 2569979006 |
| Business Fax Number: | 2569970606 |
| Mailing Address: | 426 S 4th St, GADSDEN |
| State: | AL |
| Postal Code: | 359015259 |
| Phone Number: | 2565432981 |
| Fax Number: | 2565430277 |
| NPI Enumeration Date: | 06/09/2005 |
| NPI Last Update Date: | 03/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PTH3156 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| 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 |