Individual
KAILEY ALEXANDRA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT-C, OT-C
Contact information
Practice address
510 8TH AVE NE STE 200, ISSAQUAH, WA 98029-5436
(425) 392-3030
Mailing address
17325 NE 85TH PL APT 2A-101, REDMOND, WA 98052-6644
(434) 851-1213
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18-0416
WA
2255A2300X
Athletic Trainer
ATHL.A1.60875168
WA
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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