Individual
KAYLA M BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST A
Contact information
Practice address
315 W 5TH ST, STORM LAKE, IA 50588-1743
(712) 732-7725
(712) 732-5153
Mailing address
908 S MAIN ST, IDA GROVE, IA 51445-1703
(712) 732-7725
(712) 732-5153
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
996
IA
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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