Organization
BAIRD PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL DICKSON BAIRD DPT (OWNER/PT)
(308) 633-2025
Entity
Organization
Contact information
Practice address
211 W 38TH ST, SCOTTSBLUFF, NE 69361-4626
(308) 633-2025
Mailing address
211 W 38TH ST, SCOTTSBLUFF, NE 69361-4626
(308) 633-2025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2452
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025780200
—
NE
Enumeration date
08/06/2009
Last updated
06/19/2015
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