Individual
KELLIE ANNA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1108 E 1ST ST, PORT ANGELES, WA 98362
(360) 452-6216
(360) 452-8765
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(503) 443-6156
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60857439
WA
225100000X
Physical Therapist
PTP-PT-TMP-11039
MT
Other
Enumeration date
06/01/2016
Last updated
04/02/2019
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