Organization
TREVOR BAKER PHYSICAL THERAPY
Active
Other names
Baker Mobile Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR JOHN BAKER PT, DPT, GCS (OWNER/PHYSICAL THERAPIST)
(385) 330-1595
Entity
Organization
Contact information
Practice address
3463 E 3890 N, KIMBERLY, ID 83341-5508
(208) 644-0693
Mailing address
PO BOX 951111, SOUTH JORDAN, UT 84095-1111
(385) 330-1595
(385) 257-2257
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
04/17/2026
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