Individual
CYNTHIA LYNN BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 440-6440
Mailing address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 440-6440
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
111443
IA
225200000X
Physical Therapy Assistant
160.0009312
IL
225200000X
Physical Therapy Assistant
Primary
4152-19
WI
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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