Individual
MICHAEL E BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3810
(423) 224-5510
(423) 224-5544
Mailing address
5013 SURREY DR, KINGSPORT, TN 37664-5016
(423) 343-1899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000002975
TN
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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