Kevin Baerwalde in Lagrange - Physical Therapist

Kevin Baerwalde - NPI 1326034471

Kevin Baerwalde is a Physical Therapist in Lagrange, Georgia. Kevin Baerwalde practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kevin Baerwalde is 1326034471. The last update date is 2008-06-09.

Kevin Baerwalde's current location address is 302 S Greenwood St, Lagrange, Georgia. You can contact this provider via phone number 7068848360 and fax number 7068840265. The mailing address for Kevin Baerwalde is 302 S Greenwood St, Lagrange, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Baerwalde
Address 302 S Greenwood St, Lagrange, Georgia
Phone Number 7068848360
Fax Number 7068840265
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1326034471
Provider Enumeration Date 2005-09-23
Last Updated Date 2008-06-09

Provider Mailing Address Detail

Address 302 S Greenwood St
City Lagrange
State Georgia (GA)
Post Code 302403122
Phone Number 7068848360
Fax Number 7068840265

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No LIC006138
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
611446156001 GA TRICARE-FITNESS FORUM
393730 GA BCBS OF GA
65BBCKQ GA MEDICARE PIN-FITNESS FORUM
112003 GA BCBS-FITNESS FORUM
52793122-002 GA BCBS ID NUMBER

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FAQs about Kevin Baerwalde

What is the unique 10-digit identification code assigned to Kevin Baerwalde by the Centers for Medicare & Medicaid Services?

The Kevin Baerwalde has been issued the NPI (National Provider Identifier) 1326034471, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kevin Baerwalde's facilities are situated?

The facilities of Kevin Baerwalde are physically located at the following address: 302 S Greenwood St, Lagrange, GA, 302403122.

What is the Kevin Baerwalde's specialty and taxonomy code?

The Kevin Baerwalde's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1326034471 to Kevin Baerwalde?

The Centers for Medicare & Medicaid Services originally issued the 1326034471 to Kevin Baerwalde on 2005-09-23.

As of what date were the Kevin Baerwalde's details last updated?

The information pertaining to the Kevin Baerwalde, including its address, specialty, and other details, was most recently updated on 2008-06-09.

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