Individual provider · NPI-1

Luke Baker, PT, DPT

Physical Therapist · Addison, TX

NPI number1154874436
StatusActive
Last updated in NPPESAug 3, 2016

Details

NPI
1154874436
Entity type
Individual (NPI-1)
Name
Luke Baker
Credential
PT, DPT
Sex
Male
Sole proprietor
No
Enumeration date
Aug 3, 2016
Last updated
Aug 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1279670TXYes

Practice location

4135 Beltline Road
Suite 122
Addison, TX 75001

Phone 972-789-9527 · Fax 972-789-9541

Mailing address

4135 Beltline Road
Suite 122
Addison, TX 75001

Phone 972-789-9527 · Fax 972-789-9541

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