National Provider Identifier

Mikaela Baker

Mikaela Baker is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.

NPI 1528540432Kenmore, NYPhysical Therapist

Profile Overview

NPI
1528540432
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 06, 2018
Last Updated
September 06, 2018

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6175

Mailing Address

  • 977 Lake Road East Frk
  • Hamlin, NY 14464-9325

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1528540432
Entity Type
Individual
Last Name
Baker
First Name
Mikaela
Mailing Street Address
977 Lake Road East Frk
Mailing City
Hamlin
Mailing State
NY
Mailing ZIP Code
14464-9325
Mailing Country
US
Practice Street Address
3767 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1040
Practice Country
US
Practice Phone
(716) 874-6175
Enumeration Date
September 06, 2018
Last Updated
September 06, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)