Individual
KYLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY 82514
(307) 332-7300
(307) 332-3949
Mailing address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY 82514
(307) 332-7300
(307) 332-3949
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-13199
MT
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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