Doctor Name: | JESSICA NICOLE BAUERKEMPER |
NPI Number: | 1649670878 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 9062634-2401 |
Business Practice Address: | 1265 E Fort Union Blvd Ste 110 Cottonwood Heights, UT - 840471808 |
Business Phone Number: | 8018490198 |
Business Fax Number: | 8018490492 |
Mailing Address: | 1265 E Fort Union Blvd, Ste 110 COTTONWOOD HEIGHTS |
State: | UT |
Postal Code: | 840471808 |
Phone Number: | 8018490198 |
Fax Number: | 8018490492 |
NPI Enumeration Date: | 08/25/2014 |
NPI Last Update Date: | 05/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9062634-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |