Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | OK | |
N | 225100000X | Physical Therapist | PTL0013267 | CO |
N | 2251S0007X | Physical Therapist - Sports | OK | |
N | 2251S0007X | Physical Therapist - Sports | PTL0013267 | CO |
N | 2251X0800X | Physical Therapist - Orthopedic | OK | |
N | 2251X0800X | Physical Therapist - Orthopedic | PTL0013267 | CO |
NPI | 1043851272 |
---|---|
Provider Name | Katrina Baker |
First Address | Oklahoma City, OK 73103-3008 |
Second Address | Westminster, CO 80031-3807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2019 |
Last Update Date | 27/12/2019 |