Individual
TYLER MITCHELL BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, OCS, ATC, CSCS
Contact information
Practice address
1812 N LAKEWOOD DR STE 100, COEUR D ALENE, ID 83814-2635
(208) 966-4476
(208) 966-4475
Mailing address
850 W IRONWOOD DR, STE 202, COEUR D ALENE, ID 83814-4903
(208) 664-2175
(208) 664-1226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2565
ID
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
02/28/2007
Last updated
03/11/2025
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