Bre Baker

Individual provider Active NPI Physical Therapy Assistant · Louisville, KY

NPI 1720501927 · NPPES record last updated Jul 19, 2017

Key facts

NPI
1720501927
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
2701 Chestnut Station CT
Louisville, KY 40299-6395
Phone
(800) 335-1060
NPI assigned
Jul 19, 2017
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)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

2701 Chestnut Station CT
Louisville, KY 40299-6395

Mailing address

1937 S 400 W
Russiaville, IN 46979-9137

Other providers in Louisville, KY

All providers in Louisville, KY · Physical Therapy Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.