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Individual

DR. TREVOR JOHN BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, GCS

Contact information

Practice address
3463 E 3890 N, KIMBERLY, ID 83341-5508
(208) 644-0693
(208) 231-8628
Mailing address
PO BOX 951111, SOUTH JORDAN, UT 84095-1111
(385) 330-1595
(385) 257-2257

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9819977-2401
UT
225100000X
Physical Therapist
Primary
PT-4500
ID

Other

Enumeration date
05/08/2018
Last updated
04/17/2026
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