Individual
CALEB BAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3830 WOODKING DR, IDAHO FALLS, ID 83404-4736
(208) 529-8393
Mailing address
3830 WOODKING DR, IDAHO FALLS, ID 83404-4736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9071866
ID
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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