Individual
KEVIN BAERWALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
302 S GREENWOOD ST, LAGRANGE, GA 30240-3122
(706) 884-8360
(706) 884-0265
Mailing address
302 S GREENWOOD ST, LAGRANGE, GA 30240-3122
(706) 884-8360
(706) 884-0265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LIC006138
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112003
BCBS-FITNESS FORUM
GA
01
—
393730
BCBS OF GA
GA
01
—
52793122-002
BCBS ID NUMBER
GA
01
—
611446156001
TRICARE-FITNESS FORUM
GA
01
—
65BBCKQ
MEDICARE PIN-FITNESS FORUM
GA
Enumeration date
09/23/2005
Last updated
06/09/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us