Individual provider · NPI-1

Jonah Robert Baker, ATC

Specialist/Technologist, Athletic Trainer · Denver, CO

NPI number1154454643
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1154454643
Entity type
Individual (NPI-1)
Name
Jonah Robert Baker
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
Mar 13, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

7500 E Quincy Ave Apt E312
Denver, CO 80237-3207

Phone 303-884-0064

Mailing address

7500 E Quincy Ave Apt E312
Denver, CO 80237-3207

Phone 303-884-0064

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