Individual
JOEY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1051 4TH AVE, GALLIPOLIS, OH 45631
(740) 446-5244
(740) 446-5448
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5244
(740) 446-5448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011312
OH
225100000X
Physical Therapist
2516
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204400
OH MEDICAID UNISON
OH
01
—
000000217253
ANTHEM BCBS
—
01
—
001796085
MOUNTAIN STATE BCBS
—
01
—
2666637
MOLINA MEDICAID
OH
05
—
2666637
—
OH
01
—
310917085167
OH MEDICAID - CARESOURCE
—
05
—
3810004328
—
WV
01
—
P00328954
RR MEDICARE
—
Enumeration date
07/20/2006
Last updated
08/07/2014
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