Individual
MRS. JAMIE CAROL BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
113 MALONEY WAY, MT STERLING, KY 40353
(859) 498-0011
(859) 498-5001
Mailing address
113 MALONEY WAY, MT STERLING, KY 40353
(859) 498-0011
(859) 498-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004519
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375791
ANTHEM
KY
Enumeration date
01/30/2007
Last updated
07/08/2007
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