Doctor Name: | MS. ROXANNE MARIE BAETHKE |
NPI Number: | 1265720122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T.A. |
License Number: | |
Business Practice Address: | 516 Montgomery St Team Rehab Lc Decorah, IA - 52101 |
Business Phone Number: | 5633824770 |
Business Fax Number: | 5633824785 |
Mailing Address: | 516 Montgomery St, Team Rehab Lc DECORAH |
State: | IA |
Postal Code: | 52101 |
Phone Number: | 5633824770 |
Fax Number: | 5633824785 |
NPI Enumeration Date: | 07/13/2011 |
NPI Last Update Date: | 07/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |