Individual
MR. SKIP HOWARD BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1932 N BROADWAY, POTEAU, OK 74953
(918) 649-0799
(918) 649-0797
Mailing address
1932 N BROADWAY, POTEAU, OK 74953
(918) 649-0799
(918) 649-0797
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1282
AR
225100000X
Physical Therapist
Primary
1819
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200134850A
—
OK
Enumeration date
03/15/2007
Last updated
02/25/2010
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