Baxter, Tyler Mitchell

Baxter, Tyler Mitchell is an individual health care provider with primary practice located at 1812 N Lakewood Dr Ste 100 , Coeur D Alene ID 83814-2635. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Baxter, Tyler Mitchell can be contacted via phone (208) 966-4476.

Contact Information

Primary practice address
1812 N Lakewood Dr Ste 100 Coeur D Alene ID 83814-2635
Phone: (208) 966-4476
Fax: (208) 966-4475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-2565 Idaho

Profile Details

NPI number 1568599215
LBN Legal business name Baxter, Tyler Mitchell
Credentials DPT, OCS, ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jun 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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