Individual
JOHN T BAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT/ATC
Contact information
Practice address
4200 SAVANNAH DR, DE FOREST, WI 53532-2909
(608) 417-3370
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3571-24
WI
2251X0800X
Orthopedic Physical Therapist
3571-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40163700
—
WI
Enumeration date
11/30/2006
Last updated
09/19/2012
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