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JAMIE ALLEN BAKER MS ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1114371408

Individual Registrant:
 JAMIE ALLEN BAKER MS ATC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1215 D. ST.  SALIDA, CO 81201 US
Tel: 740-438-1913  Fax: --

Contact information for business:
1215 D ST  SALIDA, CO 81201-2742 US
Tel: 740-438-1913  Fax: --

Registration Information:
NPI: 1114371408
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
COAT1216

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NATA BOC020002297CO01
DORAAT001216CO01




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