Julia Ann Baker
Individual provider Active NPI Developmental Therapist · London, KY
NPI 1104953595 · NPPES record last updated Nov 6, 2014
Key facts
- NPI
- 1104953595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 1352 Laurel Lake Rd N
London, KY 40744-8827 - Phone
- (606) 864-4833
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
1352 Laurel Lake Rd N
London, KY 40744-8827
Mailing address
1352 Laurel Lake Rd N
London, KY 40744-8827
Phone (606) 864-4833
Other providers in London, KY
- Brenda Lee Baker
- Brittany Lauren Baker
- Cailen Wattenbarger Baker
- Donald R Baker
- Janis J. Baker
- Kailyn Renee Baker
- Lori Lee Baker
- Sarah Joy Baker
- Taylor C Baker
- Emily Brooke Balenovich
All providers in London, KY · Developmental Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.