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Individual

DR. JONATHAN DOUGLAS BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1316 W G ST STE 2, ELIZABETHTON, TN 37643-2898
(423) 297-1037
(423) 297-1038
Mailing address
1316 W G ST STE 7, ELIZABETHTON, TN 37643-2898
(423) 297-1037

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9188
TN
261QP2000X
Physical Therapy Clinic/Center
9188

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4336765
TN
01
6008485
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
09/25/2012
Last updated
02/03/2026
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