Individual
MICHAEL DEAN BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
319 W D ST, HASTINGS, NE 68901-6115
(402) 340-1994
Mailing address
319 W D ST, HASTINGS, NE 68901-6115
(402) 340-1994
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
354
NE
Other
Enumeration date
08/12/2007
Last updated
08/12/2007
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