Doctor Name: | JENNA LEE BAUER |
NPI Number: | 1447482419 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 11298-024 |
Business Practice Address: | 1405 Truax Blvd Eau Claire, WI - 547031474 |
Business Phone Number: | 7155521031 |
Business Fax Number: | |
Mailing Address: | W1055 County Road T, MONDOVI |
State: | WI |
Postal Code: | 547552501 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/10/2009 |
NPI Last Update Date: | 11/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11298-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |