Richard Earl Baxter, PT, DSC, OCS, ATC

Individual provider Active NPI Physical Therapist · Fort Riley, KS

NPI 1730103060 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1730103060
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
140842 (TX)
Practice address
600 Caisson Hill Rd, Attn: MCXX-CLD-QM (Cred)
Irwin Army Community Hospital
Fort Riley, KS 66442-5037
Phone
(785) 239-7155
Fax
(785) 239-7364
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

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 Therapist 225100000X 140842 TX Yes

Addresses

Primary practice location

600 Caisson Hill Rd, Attn: MCXX-CLD-QM (Cred)
Irwin Army Community Hospital
Fort Riley, KS 66442-5037

Mailing address

600 Caisson Hill Rd, Attn: MCXX-CLD-QM (Cred)
Irwin Army Community Hospital
Fort Riley, KS 66442-5037
Phone (785) 239-7155

Other providers in Fort Riley, KS

All providers in Fort Riley, KS · Physical Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.