Individual
CYNTHIA LYNN BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
(815) 599-6340
Mailing address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
(815) 599-6340
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
111443
IA
225200000X
Physical Therapy Assistant
160.0009312
IL
225200000X
Physical Therapy Assistant
160.009312
IL
225200000X
Physical Therapy Assistant
Primary
4152-19
WI
Other
Enumeration date
04/12/2024
Last updated
05/27/2026
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