Individual
JAMIE ALLEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS ATC
Contact information
Practice address
1215 D. ST., SALIDA, CO 81201
(740) 438-1913
Mailing address
1215 D ST, SALIDA, CO 81201-2742
(740) 438-1913
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1216
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020002297
NATA BOC
CO
01
—
AT001216
DORA
CO
Enumeration date
04/22/2016
Last updated
04/22/2016
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