Doctor Name: | LISA M BAKKER |
NPI Number: | 1518250612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2407PT |
Business Practice Address: | 2819 Great Northern Loop Suite #300 Missoula, MT - 598081750 |
Business Phone Number: | 4063171121 |
Business Fax Number: | 4063171875 |
Mailing Address: | 2819 Great Northern Loop, Suite #300 MISSOULA |
State: | MT |
Postal Code: | 598081750 |
Phone Number: | 4063171121 |
Fax Number: | 4063171875 |
NPI Enumeration Date: | 05/23/2011 |
NPI Last Update Date: | 02/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2407PT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |