Doctor Name: | JENY MAEYA BAUER |
NPI Number: | 1407184716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 7169 |
Business Practice Address: | 1401 Nwakama St Marshall, MN - 562585529 |
Business Phone Number: | 5079297696 |
Business Fax Number: | 5073937697 |
Mailing Address: | 1401 Nwakama St, MARSHALL |
State: | MN |
Postal Code: | 562585529 |
Phone Number: | 5079297696 |
Fax Number: | 5073937697 |
NPI Enumeration Date: | 11/24/2009 |
NPI Last Update Date: | 11/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7169 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |